OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Territories - Weekly, NMI Implementation

IC 228443 under ICR 202108-0920-004 · OMB 0920-0728.

Documents and Forms
Document Name
Document Type
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Territories - Weekly, NMI Implementation
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data elements Att 5 - Core Data_CR_06072021.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 6 - Laboratory Data_CR_06072021.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 8 - Vaccine Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 9 - VPD Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 11 - Disease-Specific Data_CR_07022021.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

5 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 260 0 0 0 0 260
Annual IC Time Burden (Hours) 1,040 0 0 0 0 1,040
Annual IC Cost Burden (Dollars) 48,079 0 0 0 0 48,079

Title Document Date Uploaded
Attachment 4 Core Data Attachment 4 Core Data.xlsx 11/13/2013
Attachment 5 Disease-Specific Data Attachment 5 Disease-Specific Data.xlsx 11/13/2013
Att 4 - Core Data.xlsx 09/21/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.