Information Collection

Notification of Reportable Pathogen Episode

IC 210491 under ICR 201601-0648-006 · OMB 0648-0703.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Notification of Reportable Pathogen Episode	Form
Notification of Reportable Pathogen Episode 10 - Notification of Reportable Pathogen Episode (12-4-2015).docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 622.102(a)(1)(i)(C)

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	NA	Notification of Reportable Pathogen Episode	10 - Notification of Reportable Pathogen Episode (12-4-2015).docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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)	3	3
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.