Att D2_Kawasaki Syndrome

National Disease Surveillance Program

OMB: 0920-0009

IC ID: 219459

Documents and Forms
Information Collection (IC) Details

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Att D2_Kawasaki Syndrome
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0009 Kawasaki Syndrome form D2. Kawasaki Syndrome Form.pdf No   Fillable Fileable

Health Public Health Monitoring

 

20 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 40 0 -210 0 0 250
Annual IC Time Burden (Hours) 10 0 -53 0 0 63
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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