Information Collection

TTA Event Description Form

IC 252646 under ICR 202204-0930-002 · OMB 0930-0389.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0389 can be found here:

Documents and Forms

Document Name Document Type
Form TTA Event Descript TTA Event Description Form Form and Instruction
TTA Event Descript TTA Event Description Form Attachment 1_TTA Event Description Form_1-10-2022.docx Form and Instruction
TTA Event Descript TTA Event Description Form Attachment 1_TTA Event Description Form_1-10-2022.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TTA Event Description Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	TTA Event Description Form	TTA Event Description Form	Attachment 1_TTA Event Description Form_1-10-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: TTA Event Description Form	FR Citation: 75 FR 28264

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	320	320
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.