ABCs Non Bacteremic Pneumococcal Disease

Emerging Infections Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:

Documents and Forms

Document Name Document Type
ABCs Non Bacteremic Pneumococcal Disease Form
Non Bacteremic Pneumococcal 2015 Attachment 03_2015 Non Bacteremic Pneumococcal Disease_OMB.PDF Form
CDC 2016 Surveillance for Non-Invasive Penumococcal Pneumoni Att. 2 - ABCs SNiPP Case Report Form.pdf Form

Information Collection (IC) Details

IC Title:	ABCs Non Bacteremic Pneumococcal Disease	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	none	Non Bacteremic Pneumococcal 2015	Attachment 03_2015 Non Bacteremic Pneumococcal Disease_OMB.PDF		Yes	Yes	Fillable Fileable
Form	CDC	2016 Surveillance for Non-Invasive Penumococcal Pneumonia (SNiPP)	Att. 2 - ABCs SNiPP Case Report Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	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	Previously Approved
Annual Number of Responses for this IC	1,250	250	1,000
Annual IC Time Burden (Hours)	208	41	167
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.