Web-based Data Entry for the NVDRS

The National Violent Death Reporting System (NVDRS)

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.