Information Collection

Hhsar 370.301

IC 217365 under ICR 201810-0990-004 · OMB 0990-0431.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0431 can be found here:

Documents and Forms

Document Name Document Type
HHSARs 60-day Federal Register, Volume 83 Issue 137 (Tuesday, July 17, 2018).html 60-day FRN IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HHSAR 370.301	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	360	-4,284	4,644
Annual IC Time Burden (Hours)	1,800	-522	2,322
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
60-day FRN	HHSARs 60-day Federal Register, Volume 83 Issue 137 (Tuesday, July 17, 2018).html	10/30/2018

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