Information Collection

CDC-provided CSV file or HL7 messages

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CDC-provided CSV file or HL7 messages	Agency IC Tracking Number:	0920-20OS

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection 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 %

	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

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.