States - One-time SO/GI Survey

National Notifiable Diseases Surveillance System (NNDSS)

OMB: 0920-0728

IC ID: 235862

Information Collection (IC) Details

View Information Collection (IC)

States - One-time SO/GI Survey
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none SO/GI Survey Att 22 - SOGI Survey Data Collection Instrument.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

12 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 0 0 -12 0 0 12
Annual IC Time Burden (Hours) 0 0 -1 0 0 1
Annual IC Cost Burden (Dollars) 0 0 -37 0 0 37

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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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