Information Collection

Public Agencies Retrieve and Refile Records

IC 190915 under ICR 201407-0920-004 · OMB 0920-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0607 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Public Agencies Retrieve and Refile Records	Form and Instruction
Screenshots Attachment 5 - NVDRSWeb - Screenshots.docx	Form and Instruction
Attachment 3 - NVDRS Web Coding Manual.pdf Coding Manual	IC Document
Attachment 2 - Published 60-day FRN.pdf Published 60 Day FRN	IC Document
Attachment 7 - Public Comment A - TrevorProject.pdf Public Comment A	IC Document
Attachment 9 - Response to Public Comment A.doc Response to Public Comment A	IC Document
Attachment 8 - Public Comment B - ChicagoChildrens.docx Public comment B	IC Document
Attachment 10 - Response to Public Comment B.docx Response to Public Comment B	IC Document
Attachment 6 - IRB Non-Research Determination.pdf IRB Letter	IC Document
Attachment4_NVDRS Data Elements_revised.docx Data Elements	IC Document
RaceEthnicity_Coding_manual_changes.docx Changes to Coding Manual Race Ethnicity	IC Document

IC Title:

Public Agencies Retrieve and Refile Records

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	none	Screenshots	Attachment 5 - NVDRSWeb - Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 58

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	58,000	31,000	27,000
Annual IC Time Burden (Hours)	29,000	15,500	13,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Coding Manual	Attachment 3 - NVDRS Web Coding Manual.pdf	07/10/2014
Published 60 Day FRN	Attachment 2 - Published 60-day FRN.pdf	07/10/2014
Public Comment A	Attachment 7 - Public Comment A - TrevorProject.pdf	07/10/2014
Response to Public Comment A	Attachment 9 - Response to Public Comment A.doc	07/10/2014
Public comment B	Attachment 8 - Public Comment B - ChicagoChildrens.docx	07/10/2014
Response to Public Comment B	Attachment 10 - Response to Public Comment B.docx	07/10/2014
IRB Letter	Attachment 6 - IRB Non-Research Determination.pdf	07/10/2014
Data Elements	Attachment4_NVDRS Data Elements_revised.docx	10/28/2014
Changes to Coding Manual Race Ethnicity	RaceEthnicity_Coding_manual_changes.docx	10/28/2014

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