SDY Module - Epileptologists

Sudden Death in the Young Registry

OMB: 0920-1092

IC ID: 217624

Information Collection (IC) Details

View Information Collection (IC)

SDY Module - Epileptologists
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA NCRPCD Case Reporting System - SDY Module Attachment 3_NCRPCD Case Reporting System - SDY Module SDY 0920-15CT.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

9 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 2,700 0 2,700 0 0 0
Annual IC Time Burden (Hours) 225 0 225 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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