ABCs Case Report Form

Emerging Infections Program

OMB: 0920-0978

IC ID: 207646

Information Collection (IC) Details

View Information Collection (IC)

ABCs Case Report Form 17AHK
 
No Unchanged
 
Voluntary
 
42 CFR 301 Public Health Service Act

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 17AHK Att. 1 - 2017 ACTIVE BACTERIAL CORE SURVEILLANCE CASE REPORT Att. 1 - 2017 ACTIVE BACTERIAL CORE SURVEILLANCE CASE REPORT.pdf Yes Yes Fillable Printable

Health Immunization Management

 

10 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 8,090 0 0 0 0 8,090
Annual IC Time Burden (Hours) 2,697 0 0 0 0 2,697
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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