Information Collection

Data Sharing Permissions

IC 221451 under ICR 201510-0920-008 · OMB 0920-0824.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0824 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Data Sharing Permissions	Form
Data Sharing Permissions Att 7 - BioSense Data Sharing Screen Shot.pdf	Form
Att 3 - Healthcare Data Elements.pdf Healthcare Data Elements	IC Document

IC Title:

Data Sharing Permissions

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	Data Sharing Permissions	Att 7 - BioSense Data Sharing Screen Shot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

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	20	20
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Healthcare Data Elements	Att 3 - Healthcare Data Elements.pdf	05/11/2016

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