Information Collection

Harmful Algal Bloom-related Illness Surveillance System

IC 218236 under ICR 201509-0920-007 · OMB 0920-1105.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1105 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Harmful Algal Bloom-related Illness Surveillance System	Form
Harmful Algal Bloom-related Illness Surveillance System Attachment_C_0920-xxxx Harmful Algal Bloom-related Illness Surveillance System (HABISS) DataDictionary.xlsx	Form

IC Title:

Harmful Algal Bloom-related Illness Surveillance System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

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	Harmful Algal Bloom-related Illness Surveillance System	Attachment_C_0920-xxxx Harmful Algal Bloom-related Illness Surveillance System (HABISS) DataDictionary.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	171	171
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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