AIRS Performance Measures Reporting

Asthma Information Reporting System (AIRS)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0853 can be found here:

Documents and Forms

Document Name Document Type
AIRS Performance Measures Reporting Form
Performance Measures Spreadsheets Att3a AIRS PM Reporting Spreadsheets 20160311.xlsx Form
Att3a1 AIRS PM Reporting Spreadsheet Instructions 20160304.docx AIRS Performance Measures Spreadsheet Instructions IC Document

Information Collection (IC) Details

IC Title:	AIRS Performance Measures Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	Performance Measures Spreadsheets	Att3a AIRS PM Reporting Spreadsheets 20160311.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23	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	23	-49	72
Annual IC Time Burden (Hours)	58	-230	288
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
AIRS Performance Measures Spreadsheet Instructions	Att3a1 AIRS PM Reporting Spreadsheet Instructions 20160304.docx	03/22/2016

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