Information Collection

States - Weekly automated

IC 209482 under ICR 202205-0920-002 · OMB 0920-0728.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0728 can be found here:

Documents and Forms

Document Name Document Type
Att 5 - Core Data_CR_06072021.xlsx Other-Data elements
Att 5 - Core Data_CR_06072021.xlsx Other-Data elements
Att 6 - Laboratory Data_CR_06072021.xlsx Other-Data elements
Att 6 - Laboratory Data_CR_06072021.xlsx Other-Data elements
Att 8 - Vaccine Data.xlsx Other-Data elements
Att 8 - Vaccine Data.xlsx Other-Data elements
Att 9 - VPD Data.xlsx Other-Data elements
Att 9 - VPD Data.xlsx Other-Data elements
Att 11 - Disease-Specific Data_CR_07022021.xlsx Other-Data elements
Att 11 - Disease-Specific Data_CR_07022021.xlsx Other-Data elements
Att 11 - Disease-Specific Data_CR_11022021.xlsx Other-Updated Data elements
Att 11 - Disease-Specific Data_CR_11022021.xlsx Other-Updated Data elements

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	States - Weekly automated	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data elements	Att 5 - Core Data_CR_06072021.xlsx	Yes	Yes	Fillable Fileable
Other-Data elements	Att 6 - Laboratory Data_CR_06072021.xlsx	Yes	Yes	Fillable Fileable
Other-Data elements	Att 8 - Vaccine Data.xlsx	Yes	Yes	Fillable Fileable
Other-Data elements	Att 9 - VPD Data.xlsx	Yes	Yes	Fillable Fileable
Other-Data elements	Att 11 - Disease-Specific Data_CR_07022021.xlsx	Yes	Yes	Fillable Fileable
Other-Updated Data elements	Att 11 - Disease-Specific Data_CR_11022021.xlsx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 76 FR 4458

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,600	2,600
Annual IC Time Burden (Hours)	867	867
Annual IC Cost Burden (Dollars)	40,066	40,066

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.