Information Collection

CSV Format Guide

IC 245683 under ICR 202102-0920-006 · OMB 0920-1349.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920- CSV Format Guide	Form and Instruction
Form 0920- CSV File Input COVID 19 CSV Format Guide	Form and Instruction
0920- CSV File Input COVID 19 3. CSV Format Guide.xlsx	Form and Instruction
0920- CSV File Input COVID 19 3. CSV Format Guide.xlsx	Form and Instruction

IC Title:

CSV Format Guide

Agency IC Tracking Number:

0920-20OS

Is this a Common Form? No

IC Status: New

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-				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	19,710	19,710
Annual IC Time Burden (Hours)	19,710	19,710
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.

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