Cryptosporidiosis: Diagnostic Laboratory and Reporting Practices (CRYPTO) AND Incidents in the National Poison Data System (POISON CENTERS)

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Cryptosporidiosis: Diagnostic Laboratory and Reporting Practices (CRYPTO) AND Incidents in the National Poison Data System (POISON CENTERS) Form and Instruction
CRYPTOSPORIDIOSIS Assessment Tool Att C Crypto_Instrument - Web Version.docx Form and Instruction
POISON CENTERS Assessment Tool Att C Poison Centers_Instrument - Web Version.docx Form and Instruction
CRYPTO-SSA.docx CRYPTO-SSA IC Document
CRYPTO-SSB.docx CRYPTO-SSB IC Document
D_Introductory Email.docx CRYPTO-Introductory email IC Document
E_Day 7 Reminder Email.docx CRYPTO-Day 7 Reminder email IC Document
F_Day 20 Reminder Email.docx CRYPTO-Day 20 Reminder email IC Document
A_Figure-Rates of Crypto.docx CRYPTO-Rates of Crypto Figure IC Document
PoisonCtr-SSA.docx POISON CENTERS-SSA IC Document
PoisonCtr-SSB.docx POISON CENTERS-SSB IC Document
Att. A Protocol Example Email.docx POISON CENTERS-Protocol Example email IC Document
Att. D - Introductory Email.docx POISON CENTERS-Introductory email IC Document
Att. G - Sample Annual Report.docx POISON CENTERS-Sample Annual Report IC Document
Att. E - Reminder Email.docx POISON CENTERS-Reminder email IC Document

Information Collection (IC) Details

IC Title:	Cryptosporidiosis: Diagnostic Laboratory and Reporting Practices (CRYPTO) AND Incidents in the National Poison Data System (POISON CENTERS)	Agency IC Tracking Number:	15DJ_15DK

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	CRYPTOSPORIDIOSIS Assessment Tool	Att C Crypto_Instrument - Web Version.docx	None	Yes	Yes	Fillable Fileable
Form and Instruction	None	POISON CENTERS Assessment Tool	Att C Poison Centers_Instrument - Web Version.docx	None	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 152	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	152	152
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CRYPTO-SSA	CRYPTO-SSA.docx	11/06/2014
CRYPTO-SSB	CRYPTO-SSB.docx	11/06/2014
CRYPTO-Introductory email	D_Introductory Email.docx	11/06/2014
CRYPTO-Day 7 Reminder email	E_Day 7 Reminder Email.docx	11/06/2014
CRYPTO-Day 20 Reminder email	F_Day 20 Reminder Email.docx	11/06/2014
CRYPTO-Rates of Crypto Figure	A_Figure-Rates of Crypto.docx	11/06/2014
POISON CENTERS-SSA	PoisonCtr-SSA.docx	11/06/2014
POISON CENTERS-SSB	PoisonCtr-SSB.docx	11/06/2014
POISON CENTERS-Protocol Example email	Att. A Protocol Example Email.docx	11/06/2014
POISON CENTERS-Introductory email	Att. D - Introductory Email.docx	11/06/2014
POISON CENTERS-Sample Annual Report	Att. G - Sample Annual Report.docx	11/06/2014
POISON CENTERS-Reminder email	Att. E - Reminder Email.docx	11/06/2014

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