Information Collection

Advanced Review

IC 234893 under ICR 202201-0920-011 · OMB 0920-1092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1092 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Att 7b_Advanced Review Topics.docx	Other-Discussion Guide
Att 7b_Advanced Review Topics.docx	Other-Discussion Guide

IC Title:

Advanced Review

Agency IC Tracking Number:

0920-1092

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
Other-Discussion Guide			Att 7b_Advanced Review Topics.docx		Yes	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 39

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
	Approved	Previously Approved
Annual Number of Responses for this IC	1,092	1,092
Annual IC Time Burden (Hours)	273	273
Annual IC Cost Burden (Dollars)	12,864	12,864

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.