Att D-3_Reye Syndrome

National Disease Surveillance Program

OMB: 0920-0009

IC ID: 219460

Documents and Forms
Information Collection (IC) Details

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Att D-3_Reye Syndrome
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0009 Reye Syndrome form D3. Reye Syndrome Form.pdf No   Fillable Fileable

Health Public Health Monitoring

 

50 0
   
State, Local, and Tribal Governments
 
   0 %

  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) 17 0 0 0 0 17
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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