Information Collection

National ART Surveillance System

IC 43614 under ICR 201502-0920-007 · OMB 0920-0556.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0556 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
National ART Surveillance System National ART Surveillance System	Form
NASS 2016 National ART Surveillance System	Form
National ART Surveillance System Att C1a. (Current thru 2015) NASS Screens.pdf	Form
NASS 2016 Att C1b. (Proposed) Future NASS screens for 2016.docx	Form
Att C6. Detailed List of NASS Changes_TC.docx Detailed List of NASS Changes	IC Document
Att C2. (Current) NASS Annual Submission Instructions.doc NASS Instructions	IC Document
Att C3. (Current) NASS Users Manual.pdf NASS User manual	IC Document
Att C5 Overview of Changes to NASS Data Elements_rev_06 24 2015.clean.docx Overview of Changes for NASS	IC Document
Att C6. Detailed List of NASS Changes_07 08 2015.docx Details of Changes to NASS	IC Document

IC Title:

National ART Surveillance System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	none				Yes	Yes	Fillable Fileable
Form	none				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 447

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	157,791	8,631	149,160
Annual IC Time Burden (Hours)	110,454	13,500	96,954
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Detailed List of NASS Changes		02/12/2015
NASS Instructions		02/12/2015
NASS User manual		02/12/2015
Overview of Changes for NASS		07/23/2015
Details of Changes to NASS		07/23/2015

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

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