Electronic Platform Quarterly Chronic Absenteeism Data Reporting Form

[NCEZID] School-Based Active Surveillance (SBAS) of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Among Schoolchildren: Phase-2 of the National Roll-Out

OMB: 0920-1396

IC ID: 257206

Information Collection (IC) Details

View Information Collection (IC)

Electronic Platform Quarterly Chronic Absenteeism Data Reporting Form 0920-22HN
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22HN Electronic Platform Quarterly Chronic Absenteeism Data Reporting Form Attachment A_SBAS_Instrument_Electronic Platform Quarterly Chronic Absenteeism Data Reporting Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

20 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

  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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 400 0 400 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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