Information Collection Request

Public Health Information System

ICR 202103-0583-001 · OMB 0583-0153 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
supporting statement ICRPHIS 08042021.docx Supporting Statement A Uploaded 2021-08-04 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
196167 Public Health Information System Other-screens-Transfer Certificate Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2022
644,048 643,008
115,550 115,117
0 0





table that charts list of burden
  Total Request 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 644,048 643,008 0 1,040 0 0
Annual Time Burden (Hours) 115,550 115,117 0 433 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No