OMB
.report
Search
Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
National Disease Surveillance Program - II. Disease Summaries
OMB: 0920-0004
IC ID: 199056
OMB.report
HHS/CDC
OMB 0920-0004
ICR 201707-0920-010
IC 199056
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:
2024-05-07 - No material or nonsubstantive change to a currently approved collection
2023-01-27 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Form CDC 55.20
Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
Form
CDC 55.20 US Outpatient Influenza-like Illness Surveillance Networ
Attachment G_U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly_CDC 55.20.pdf
Form
Att H_US Outpatient ILI Surv Network (ILINet) Workfolder; CDC 55 20E.pdf
Att H US Outpatient Influenza-like Illness Surveillance Network (ILINet) Work Folder
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
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
Form
CDC 55.20
US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
Attachment G_U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly_CDC 55.20.pdf
NA
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,800
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
87 %
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
93,600
0
0
0
0
93,600
Annual IC Time Burden (Hours)
15,600
0
0
0
0
15,600
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att H US Outpatient Influenza-like Illness Surveillance Network (ILINet) Work Folder
Att H_US Outpatient ILI Surv Network (ILINet) Workfolder; CDC 55 20E.pdf
07/25/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.