Adjustment to Inventory for Y1Q4

Emergency Epidemic Investigation Data Collections - Expedited Reviews

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Document Name Document Type
0920-1011 Non-Substantive Change Request Memo_Y1Q4_04-15-2015.docx Other-Burden Inventory
1011 genIC to adjust burden.docx Adjustment to Burden for Y1Q4 IC Document

Information Collection (IC) Details

IC Title:	Adjustment to Inventory for Y1Q4	Agency IC Tracking Number:	15AEJ

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
Other-Burden Inventory			0920-1011 Non-Substantive Change Request Memo_Y1Q4_04-15-2015.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 296	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	296	296
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Adjustment to Burden for Y1Q4	1011 genIC to adjust burden.docx	04/23/2015

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