Human Infections with Novel Influenza A Virus Severe Outcomes

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

OMB: 0920-0004

IC ID: 212470

Information Collection (IC) Details

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Human Infections with Novel Influenza A Virus Severe Outcomes 0920-0004
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form None Human Infection with Novel Influenza A Virus Severe Outcomes Attachment M Human Infection with Novel Influenza A Virus Severe Outcomes.pdf Yes Yes Fillable Printable

Health Public Health Monitoring

 

57 0
   
State, Local, and Tribal Governments
 
   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 57 0 0 0 57 0
Annual IC Time Burden (Hours) 86 0 0 0 86 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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