Information Collection

42 CFR Parts 54 a

IC 192280 under ICR 201606-0930-006 · OMB 0930-0242.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0242 can be found here:

Documents and Forms

Document Name Document Type
No instruments.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	42 CFR Parts 54 a	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			No instruments.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,505	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	1,478	1,478
Annual IC Cost Burden (Dollars)	58,783	58,783

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.