Information Collection

U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E

IC 228068 under ICR 202301-0920-009 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 55.20E U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Form
CDC 55.20E U.S. Outpatient Influenza-Like Illness Surveillance Netw Attachment H U.S. Outpatient Influenza like Illness Surveillance Network (ILINet)_CDC 55.20E.pdf Form
CDC 55.20E U.S. Outpatient Influenza-Like Illness Surveillance Netw Attachment H U.S. Outpatient Influenza like Illness Surveillance Network (ILINet)_CDC 55.20E.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E	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 55.20E	U.S. Outpatient Influenza-Like Illness Surveillance Network (ILINet) - Workfolder_CDC 55.20E	Attachment H U.S. Outpatient Influenza like Illness Surveillance Network (ILINet)_CDC 55.20E.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: 1,800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	93,600	91,800	1,800
Annual IC Time Burden (Hours)	15,600	15,450	150
Annual IC Cost Burden (Dollars)	0	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.