Information Collection

Annual Report of Bacterial Specimen Testing Methods

IC 239433 under ICR 201912-0920-013 · OMB 0920-1310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1310 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-19AYV Annual Report of Bacterial Specimen Testing Methods Form and Instruction
0920-19AYV Annual Report of Bacterial Specimen Testing Methods Attachment 3a Form 1 Annual Report of Bacterial Specimen Testing Methods.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Annual Report of Bacterial Specimen Testing Methods	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-19AYV	Annual Report of Bacterial Specimen Testing Methods	Attachment 3a Form 1 Annual Report of Bacterial Specimen Testing Methods.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	55	55
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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