Information Collection Request

[NCEZID] Enterprise Laboratory Information Management System

ICR 202308-0920-008 · OMB 0920-1309 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CDC 50.34_v4.2.21 CDC Specimen Submission 50.34 Form Form Modified Repair queued
Form 0920-1309 Global File Accessioning Template Form and Instruction Modified Repair queued
Form CDC 50.34 Att 3a_ 50.34 Form_v4.2.3 Form Removed Repair queued
Attachment 5-Human Subjects Determination.pdf Supplementary Document Uploaded 2023-08-21 Repair queued
Attachment 4-Privacy Impact Assessment.pdf Supplementary Document Uploaded 2023-08-21 Missing upstream
Attachment 3-60-day FRN.pdf Supplementary Document Uploaded 2023-08-21 Repair queued
Attachment 1-Section 301 of the Public Health Service Act (42 U.S.C. 241).pdf Supplementary Document Uploaded 2023-08-21 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2023-08-21 Repair queued
Supporting Statement A_final.docx Supporting Statement A Uploaded 2023-08-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
243434 CDC Specimen Submission 50.34 Form Form Modified
243432 Global File Accessioning Template Form and Instruction Modified
243431 Att 3a_ 50.34 Form_v4.2.3 Form Removed

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 11/30/2023
25,341 25,079
2,153 2,131
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Att 3a_ 50.34 Form_v4.2.3 CDC 50.34 CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORIGIN
CDC Specimen Submission 50.34 Form CDC 50.34_v4.2.21 CDC SPECIMEN SUBMISSION FORM: SPECIMENS OF HUMAN ORGAN
Global File Accessioning Template 0920-1309 GFAT v5.12

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,341 25,079 0 6,262 -6,000 0
Annual Time Burden (Hours) 2,153 2,131 0 522 -500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No