(drss) Concession/partner Employee Illness Report

National Park Service (NPS) Office of Public Health (OPH) Disease Reporting and Surveillance Forms

OMB: 1024-0286

IC ID: 236925

Information Collection (IC) Details

View Information Collection (IC)

(DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NPS Form 10-685 DISEASE REPORTING AND SURVEILLANCE SYSTEM (DRSS) CONCESSION/PARTNER EMPLOYEE ILLNESS REPORT NPS DRSS EMPLOYEE ILLNESS REPORT_final.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

300 300
   
Individuals or Households
 
   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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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