Att AA_ Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements

National Disease Surveillance Program - II. Disease Summaries

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
Att AA_INFLUENZA VIRUS (ELECTRONIC, YEAR ROUND), PHLIP_HL7 MESSAGING DATA ELEMENTS.doc Other-Variables for Electronic Repor
PHLIP cover sheet.docx PHLIP Coversheet IC Document

Information Collection (IC) Details

IC Title:	Att AA_ Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Other-Variables for Electronic Reporting			Att AA_INFLUENZA VIRUS (ELECTRONIC, YEAR ROUND), PHLIP_HL7 MESSAGING DATA ELEMENTS.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,548	2,548
Annual IC Time Burden (Hours)	212	212
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PHLIP Coversheet	PHLIP cover sheet.docx	11/02/2010

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