National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment

[NCIRD] National Disease Surveillance Program - II. Disease Summaries

Documents and Forms

Document Name Document Type
Form CDC 55.83A National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
CDC 55.83A NREVSS Antigen Detection Worksheet Attachment U1 NREVSS Antigen Detection Worksheet (CDC 55.83A) (electronic).pdf Form
CDC 55.83A NREVSS Antigen Detection Worksheet Attachment U1 NREVSS Antigen Detection Worksheet (CDC 55.83A) (electronic).pdf Form
CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet Attachment U3 NREVSS Polymerase Chain Reaction (PCR) Worksheet (CDC 55.83D) (electronic).pdf Form
CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet Attachment U3 NREVSS Polymerase Chain Reaction (PCR) Worksheet (CDC 55.83D) (electronic).pdf Form
CDC 55.83B NREVSS Virus Isolation (culture) Worksheet Attachment U2 NREVSS Virus Isolation (Culture) Worksheet (CDC 55.83B) (electronic).pdf Form
CDC 55.83B NREVSS Virus Isolation (culture) Worksheet Attachment U2 NREVSS Virus Isolation (Culture) Worksheet (CDC 55.83B) (electronic).pdf Form

Information Collection (IC) Details

IC Title:	National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	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	CDC 55.83A	NREVSS Antigen Detection Worksheet	Attachment U1 NREVSS Antigen Detection Worksheet (CDC 55.83A) (electronic).pdf	NA	Yes	Yes	Fillable Printable
Form	CDC 55.83D	NREVSS Polymerase Chain Reaction (PCR) Worksheet	Attachment U3 NREVSS Polymerase Chain Reaction (PCR) Worksheet (CDC 55.83D) (electronic).pdf	NA	Yes	Yes	Fillable Printable
Form	CDC 55.83B	NREVSS Virus Isolation (culture) Worksheet	Attachment U2 NREVSS Virus Isolation (Culture) Worksheet (CDC 55.83B) (electronic).pdf	NA	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 550	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	28,600	28,600
Annual IC Time Burden (Hours)	7,150	7,150
Annual IC Cost Burden (Dollars)	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.