Data Sharing Permissions

National Syndromic Surveillance Program

Documents and Forms

Document Name Document Type
Form 0920-0824 Data Sharing Permissions Form and Instruction
0920-0824 Data Sharing Screenshot Att 6 - Data Sharing Screenshot .pdf Form and Instruction
0920-0824 Data Sharing Screenshot Att 6 - Data Sharing Screenshot .pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Data Sharing Permissions	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	0920-0824	Data Sharing Screenshot	Att 6 - Data Sharing Screenshot .pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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	Previously Approved
Annual Number of Responses for this IC	20	10	10
Annual IC Time Burden (Hours)	5	2	3
Annual IC Cost Burden (Dollars)	0	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.