Att S_Aggregate Hospitalization and Death Reporting Activity Weekly Report Form

National Disease Surveillance Program - II. Disease Summaries

OMB: 0920-0004

IC ID: 199045

Information Collection (IC) Details

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Att S_Aggregate Hospitalization and Death Reporting Activity Weekly Report Form
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Aggregate Hospital AHDRA Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

56 0
   
State, Local, and Tribal Governments
 
   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 0 0 -2,912 0 0 2,912
Annual IC Time Burden (Hours) 0 0 -485 0 0 485
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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