Att D_Burden of Canine Brucellosis Information Collection Insrument

CDC Burden of Canine Brucellosis Information Collection

Documents and Forms

Document Name Document Type
Att D_Instrument_Word Version_15Jan2016.docx Other-WORD
Att G_Introductory Email.docx Att G_Introductory Email IC Document
Att C_Veterinary Diagnostic Laboratories.pdf Att C_Veterinary Diagnostic Laboratories IC Document
Att H_Notice.docx Att H_Notice IC Document
Att E_Instrument_Web Version_15Jan2016.docx Att E_Instrucment (Web Version) IC Document

Information Collection (IC) Details

IC Title:	Att D_Burden of Canine Brucellosis Information Collection Insrument	Agency IC Tracking Number:

Is this a Common Form? No		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-WORD			Att D_Instrument_Word Version_15Jan2016.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 129	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
Annual Number of Responses for this IC	129	129
Annual IC Time Burden (Hours)	129	129
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att G_Introductory Email	Att G_Introductory Email.docx	09/14/2015
Att C_Veterinary Diagnostic Laboratories	Att C_Veterinary Diagnostic Laboratories.pdf	09/14/2015
Att H_Notice	Att H_Notice.docx	09/14/2015
Att E_Instrucment (Web Version)	Att E_Instrument_Web Version_15Jan2016.docx	01/29/2016

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