Information Collection

Survey of county-level surveillance records of Aedes aegypti and Aedes albopictus

IC 223567 under ICR 201609-0920-011 · OMB 0920-1146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1146 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	125	125
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.