0920-0004 Listeria Case Form

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 178375

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

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0920-0004 Listeria Case Form
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Listeria Case Report Form.pdf No No Paper Only

Health Public Health Monitoring

 

53 0
   
State, Local, and Tribal Governments
 
   0 %

  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 -53 0 0 53
Annual IC Time Burden (Hours) 0 0 -27 0 0 27
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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