Information Collection

ABCs Severe GAS Infection Supplemental Form

IC 230869 under ICR 202108-0920-013 · OMB 0920-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-0978 ABCs Severe GAS Infection Supplemental Form Form and Instruction
0920-0978 ABC Severe GAS Infection Supplemental Form Att 7- ABCs Severe GAS Infection Supplemental Form.pdf Form and Instruction
0920-0978 ABC Severe GAS Infection Supplemental Form Att 7- ABCs Severe GAS Infection Supplemental Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	ABCs Severe GAS Infection Supplemental Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

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	0920-0978	ABC Severe GAS Infection Supplemental Form	Att 7- ABCs Severe GAS Infection Supplemental Form.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,360	1,360
Annual IC Time Burden (Hours)	453	453
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.