Information Collection

PAIMI 42CFR Part51

IC 254646 under ICR 202206-0930-003 · OMB 0930-0172.

Documents and Forms

Document Name Document Type
Attachment A - PAIMI_Rules_42CFR_Part51 - 10052021.docx PAIMI 42CFR Part51 IC Document
Attachment A - PAIMI_Rules_42CFR_Part51 - 10052021.docx PAIMI 42CFR Part51 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PAIMI 42CFR Part51	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 51

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: PAIMI 42CFR Part51	FR Citation: 75 FR 28264

Number of Respondents: 57	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	57	57
Annual IC Time Burden (Hours)	196	196
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PAIMI 42CFR Part51	Attachment A - PAIMI_Rules_42CFR_Part51 - 10052021.docx	07/14/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.