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Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus
Survey of Surveillance Records of Aedes aegypti and Aedes albopictus from 1960 to Present
OMB: 0920-1146
IC ID: 223567
OMB.report
HHS/CDC
OMB 0920-1146
ICR 201609-0920-011
IC 223567
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1146 can be found here:
2018-09-14 - No material or nonsubstantive change to a currently approved collection
2017-07-06 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus
Form and Instruction
CDC Survey of County-Level Surveillance Records of Aedes
Att C - Survey of surveillance records of Aedes aegypti and Aedes albopictus.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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 and Instruction
NA
CDC Survey of County-Level Surveillance Records of Aedes aegypti and Aedes alboptictus from 1960 to Present
Att C - Survey of surveillance records of Aedes aegypti and Aedes albopictus.pdf
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0113 - Epidemic Investigation Case Records Systems Notice
FR Citation:
51 FR 42466
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
500
0
500
0
0
0
Annual IC Time Burden (Hours)
125
0
125
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.