Information Collection

National Outbreak Reporting System

IC 241893 under ICR 202108-0920-012 · OMB 0920-1304.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1304 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-21HN National Outbreak Reporting System	Form
0920-21HN NORS Form 52.14 Attachment A_NORS Form 52.14.pdf	Form
0920-21HN NORS Form 52.14 Attachment A_NORS Form 52.14.pdf	Form
Attachment B_Flat Data Dictionary_August2021.xlsx Data Dictionary	IC Document
Attachment B_Flat Data Dictionary_August2021.xlsx Data Dictionary	IC Document

IC Title:

National Outbreak Reporting System

Agency IC Tracking Number:

0920-21HN

Is this a Common Form? No

IC Status: Modified

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	0920-21HN	NORS Form 52.14	Attachment A_NORS Form 52.14.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,481	1,239	2,242
Annual IC Time Burden (Hours)	1,160	413	747
Annual IC Cost Burden (Dollars)	38,848	13,827	25,021

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Data Dictionary	Attachment B_Flat Data Dictionary_August2021.xlsx	08/31/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.