Information Collection

Data Cleaning/Validation/Transmissions (Strategy B)

IC 241635 under ICR 202306-0920-010 · OMB 0920-1072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1072 Data Cleaning/Validation/Transmissions (Strategy B)	Form and Instruction
0920-1072 SSuN Data Elements Att5_DataElements_0920-1072_Rev2023.docx	Form and Instruction
0920-1072 SSuN Data Elements Att5_DataElements_0920-1072_Rev2023.docx	Form and Instruction
Att6_Collaborators_0920-1072_Rev2023.docx Revised List of Collaborators	IC Document
Att6_Collaborators_0920-1072_Rev2023.docx Revised List of Collaborators	IC Document

IC Title:

Data Cleaning/Validation/Transmissions (Strategy B)

Agency IC Tracking Number:

0920-1072

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1072	SSuN Data Elements	Att5_DataElements_0920-1072_Rev2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	66	55	11
Annual IC Time Burden (Hours)	2,640	1,760	880
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Revised List of Collaborators	Att6_Collaborators_0920-1072_Rev2023.docx	07/18/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.