Information Collection

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

IC 199051 under ICR 201707-0920-010 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material.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

View Information Collection (IC)

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: Modified

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: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,964	416	2,548
Annual IC Time Burden (Hours)	247	35	212
Annual IC Cost Burden (Dollars)	0	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.