Att W Adenovirus Typing Report Form

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 212472

Information Collection (IC) Details

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Att W Adenovirus Typing Report Form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form None Adenovirus Typing Report Form Att W_Adenovirus Typing Report Form.xls Yes Yes Fillable Printable

Health Public Health Monitoring

 

25 0
   
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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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