Information Collection

Certification to Delay Results

IC 225086 under ICR 202001-0925-001 · OMB 0925-0586.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0586 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3 Certification to Delay Results	Form and Instruction
3 Certification to Delay Submission of Results Information Attachment 6 – Certification to Delay Submission of Results Information (Reference Document and Screenshots of Data Entry Forms)	Form and Instruction

IC Title:

Certification to Delay Results

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3	Certification to Delay Submission of Results Information (Reference Document and Screenshorts of Data Entry forms)	Attachment 6 â Certification to Delay Submission of Results Information (Reference Document and Screenshots of Data Entry Forms).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-5,150	5,150
Annual IC Time Burden (Hours)	-2,575	2,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.