States - One time addition of diseases and data elements

National Notifiable Diseases Surveillance System (NNDSS)

OMB: 0920-0728

IC ID: 228441

Information Collection (IC) Details

View Information Collection (IC)

States - One time addition of diseases and data elements 0920-0728
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att 5 - Core Data.xlsx Yes Yes Fillable Fileable
Instruction Att 6 - Laboratory Data.xlsx Yes Yes Fillable Fileable
Instruction Att 7 - Vaccine Data.xlsx Yes Yes Fillable Fileable
Instruction Att 8 - VPD Data.xlsx Yes Yes Fillable Fileable
Form 0920-0728 Disease-Specific Data Elements Att 10 - Disease-Specific Data.xlsx Yes Yes Printable Only

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

50 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 0 0 0 50
Annual IC Time Burden (Hours) 50 0 -750 0 0 800
Annual IC Cost Burden (Dollars) 34,673 0 0 0 0 34,673

Title Document Date Uploaded
Justification for Disease-Specific Data Att 9 - Justification for Disease-Specific Data.pdf 05/11/2022
PRA Burden Statement (screenshot) Att 15 - PRA Burden Statement Screenshot.pdf 05/16/2022
Attachment 4 Core Data Attachment 4 Core Data.xlsx 11/13/2013
Attachment 5 Disease-Specific Data Attachment 5 Disease-Specific Data.xlsx 11/13/2013
Attachment 5 Disease-Specific Data_12182014.xlsx 01/05/2015
Att 4 - Core Data.xlsx 09/21/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy