Requesting Laboratory Input to Support Ebola Response

Data Calls for the Laboratory Response Network

OMB: 0920-0881

IC ID: 212941

Information Collection (IC) Details

View Information Collection (IC)

Requesting Laboratory Input to Support Ebola Response 14AXL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Data Call Instrument Data Call Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

150 1
   
State, Local, and Tribal Governments
 
   100 %

  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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part B SS B Supporting Statement.docx 09/03/2014
Supporting Statement Part A SS A Data_Calls 8-26-14.doc 09/04/2014
Ebola Response Data Call Instrument Attachment 1.docx 09/04/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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