Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment

National Disease Surveillance Program - II. Disease Summaries

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 55.83 Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
CDC 55.83 National Respiratory and Enteric Virus Surveillance Syst Att U_CDC 55.83_NREVSS_LaboratoryAssessment_FORM.docx Form
CDC 55.83A NREVSS Antigen Detection Worksheet Att U1_CDC 55.83A_NREVSS- Antigen Detection Wkst.pdf Form
CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet Att U3_CDC 55.83D_ NREVSS - PCR WKsht.pdf Form
CDC 55.83B NREVSS Virus Isolation (culture) Worksheet Att U2_CDC 55.83B_NREVSS- Virus Isolation (culture) Wkst.pdf Form

Information Collection (IC) Details

IC Title:	Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 55.83	National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Att U_CDC 55.83_NREVSS_LaboratoryAssessment_FORM.docx	Yes	Yes	Fillable Printable
Form	CDC 55.83A	NREVSS Antigen Detection Worksheet	Att U1_CDC 55.83A_NREVSS- Antigen Detection Wkst.pdf	Yes	Yes	Fillable Printable
Form	CDC 55.83D	NREVSS Polymerase Chain Reaction (PCR) Worksheet	Att U3_CDC 55.83D_ NREVSS - PCR WKsht.pdf	Yes	Yes	Fillable Printable
Form	CDC 55.83B	NREVSS Virus Isolation (culture) Worksheet	Att U2_CDC 55.83B_NREVSS- Virus Isolation (culture) Wkst.pdf	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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	Previously Approved
Annual Number of Responses for this IC	15,600	10,920	4,680
Annual IC Time Burden (Hours)	3,900	3,120	780
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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