Information Collection

Public Agencies Retrieve and Refile Records

IC 190915 under ICR 202004-0920-001 · OMB 0920-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0607 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0607 Public Agencies Retrieve and Refile Records	Form and Instruction
0920-0607 NVDRS Data Entry Screenshots Att 6_NVDRS Web-Based Data Entry Screenshots_0607.pdf	Form and Instruction
Att 7_NVDRS Coding Manual Version 5.3_0607.pdf NVDRS Web Coding Manual	IC Document
Att 8 _NVDRS Data Elements (NVDRS Variables)_0607.pdf NVDRS Data Elements	IC Document

IC Title:

Public Agencies Retrieve and Refile Records

Agency IC Tracking Number:

0920-0607

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	0920-0607	NVDRS Data Entry Screenshots	Att 6_NVDRS Web-Based Data Entry Screenshots_0607.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	73,080	4,592	68,488
Annual IC Time Burden (Hours)	36,540	2,296	34,244
Annual IC Cost Burden (Dollars)	685,125	71,473	613,652

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NVDRS Web Coding Manual	Att 7_NVDRS Coding Manual Version 5.3_0607.pdf	04/13/2020
NVDRS Data Elements	Att 8 _NVDRS Data Elements (NVDRS Variables)_0607.pdf	04/13/2020

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