Information Collection Request

COVID-19 Pandemic Response, Laboratory Data Reporting

ICR 202005-0920-012 · OMB 0920-1299 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-20OS CDC-provided CSV file or HL7 messages (retrospective data entry) Form and Instruction New Available
Form 0920-20OS CDC-provided CSV file or HL7 messages Form and Instruction New Available
Emergency review request memo p 2 (signed).jpg Supplementary Document Uploaded 2020-05-28 Available
Emergency review request memo p 1 (signed).jpg Supplementary Document Uploaded 2020-05-28 Available
8. PIA.pdf Supplementary Document Uploaded 2020-05-28 Available
7. Non-research determination.pdf Supplementary Document Uploaded 2020-05-28 Available
1B. CARES Act.pdf Supplementary Document Uploaded 2020-05-28 Available
1A. Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2020-05-28 Available
Supporting Statement B - CARES Act lab data 5.28.2020 CLEAN.docx Supporting Statement B Uploaded 2020-05-28 Available
Supporting Statement A - CARES Act lab data 5.28.2020 CLEAN.docx Supporting Statement A Uploaded 2020-05-28 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241982 LIMS Interface Configuration Other-Info sheet New
241981 CDC-provided CSV file or HL7 messages (retrospective data entry) Form and Instruction New
241976 CDC-provided CSV file or HL7 messages Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2020 6 Months From Approved
16,774 0 0
65,936 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
CDC-provided CSV file or HL7 messages 0920-20OS, 0920-20OS CSV Format Guide ,   HL7 Reporting Guide
CDC-provided CSV file or HL7 messages (retrospective data entry) 0920-20OS CSV Format Guide
LIMS Interface Configuration

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 16,774 0 0 16,774 0 0
Annual Time Burden (Hours) 65,936 0 0 65,936 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No