Information Collection

ABCs Invasive Pneumococcal Disease in Children

IC 207648 under ICR 202204-0920-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0978 ABCs Invasive Pneumococcal Disease in Children	Form and Instruction
0920-0978 2 months to Att5- ABC 2022 Invasive Pneumococcal Children and Adults_SPN Expanded CRF.pdf	Form and Instruction
0920-0978 2 months to Att5- ABC 2022 Invasive Pneumococcal Children and Adults_SPN Expanded CRF.pdf	Form and Instruction

IC Title:

ABCs Invasive Pneumococcal Disease in Children

Agency IC Tracking Number:

0920-0978

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 301 Public Health Service Act

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	0920-0978	ABC Invasive Pneumococcal Disease in Children (age>2 months to <5 years	Att5- ABC 2022 Invasive Pneumococcal Children and Adults_SPN Expanded CRF.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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,270	1,050	220
Annual IC Time Burden (Hours)	212	175	37
Annual IC Cost Burden (Dollars)	0	0	0

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.