Information Collection

CDC-provided CSV file or HL7 messages

IC 241976 under ICR 202005-0920-012 · OMB 0920-1299.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-20OS CDC-provided CSV file or HL7 messages	Form and Instruction
0920-20OS CSV Format Guide 3. CSV Format Guide.xlsx	Form and Instruction
0920-20OS HL7 Reporting Guide 4. HL7 Reporting Guide.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-20OS

Is this a Common Form? No

IC Status: New

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	0920-20OS	CSV Format Guide	3. CSV Format Guide.xlsx		Yes	Yes	Fillable Fileable
Form and Instruction	0920-20OS	HL7 Reporting Guide	4. HL7 Reporting Guide.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

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
Annual Number of Responses for this IC	9,720	9,720
Annual IC Time Burden (Hours)	9,720	9,720
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.