Information Collection

Web-based Data Entry for the NVDRS

IC 190915 under ICR 202112-0920-012 · OMB 0920-0607.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0607 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Web-based Data Entry for the NVDRS	Form and Instruction
NVDRS (screen shots of web-based system) Att 6_NVDRS Web-Based Data Entry Screenshots.pdf	Form and Instruction

IC Title:

Web-based Data Entry for the NVDRS

Agency IC Tracking Number:

0920-0607

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 and Instruction	n/a	NVDRS (screen shots of web-based system)	Att 6_NVDRS Web-Based Data Entry Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 56

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	75,600	2,520	73,080
Annual IC Time Burden (Hours)	37,800	1,260	36,540
Annual IC Cost Burden (Dollars)	768,096	82,971	685,125

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.