OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Malaria Case Surveillance Report

IC 46206 under ICR 201401-0920-007 · OMB 0920-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC 54.1 Malaria Case Surveillance Report	Form
CDC 54.1 Malaria Case Surveillance Report ProposedCDC Malaria Form_Oct132009.doc	Form
Currentmalaria_form.pdf Current Malaria Form	IC Document
CDCMalaria54 1_changesAppenA2009.xls Malaria Changes	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Malaria Case Surveillance Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 54.1	Malaria Case Surveillance Report	ProposedCDC Malaria Form_Oct132009.doc		Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Epidemiologic Studies and Surveillance of Disease Problems 09-20-0136

FR Citation: 57 FR 62812

Number of Respondents: 55

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	0	0	-1,100	0	0	1,100
Annual IC Time Burden (Hours)	0	0	-275	0	0	275
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current Malaria Form	Currentmalaria_form.pdf	02/25/2010
Malaria Changes	CDCMalaria54 1_changesAppenA2009.xls	02/25/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.