Information Collection

Staff, Contractor, and Volunteer Reporting of New Vaccination

IC 250754 under ICR 202306-0970-011 · OMB 0970-0583.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Staff, Contractor, and Volunteer Reporting of New Vaccination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 1302

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

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 75,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-75,000	75,000
Annual IC Time Burden (Hours)	-50,003	50,003
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.