Territories - One time addition of diseases and data elements

National Notifiable Diseases Surveillance System (NNDSS)

OMB: 0920-0728

IC ID: 228445

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Territories - One time addition of diseases and data elements
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data elements Att 10 - Disease-Specific Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 5 - Core Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 6 - Laboratory Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 7 - Vaccine Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 8 - VPD Data.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

5 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 5 0 0 0 0 5
Annual IC Time Burden (Hours) 15 0 -50 0 0 65
Annual IC Cost Burden (Dollars) 693 0 -2,205 0 0 2,898

Title Document Date Uploaded
Attachment 4 Core Data Attachment 4 Core Data.xlsx 11/13/2013
Attachment 5 Disease-Specific Data Attachment 5 Disease-Specific Data.xlsx 11/13/2013
Att 4 - Core Data.xlsx 09/21/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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