Information Collection

Freely Associated States - Annual

IC 228447 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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
Attachment 4 Core Data.xlsx Attachment 4 Core Data	IC Document
Attachment 4 Core Data.xlsx Attachment 4 Core Data	IC Document
Attachment 5 Disease-Specific Data.xlsx Attachment 5 Disease-Specific Data	IC Document
Attachment 5 Disease-Specific Data.xlsx Attachment 5 Disease-Specific Data	IC Document
Att 4 - Core Data.xlsx	IC Document
Att 4 - Core Data.xlsx	IC Document

IC Title:

Freely Associated States - Annual

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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: 3

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	3	3
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	565	565

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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
	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.