Information Collection

Component 1 - STLT Health Depts

IC 263097 under ICR 202310-0920-009 · OMB 0920-1422.

Documents and Forms

Document Name Document Type
Attachment-04_Component-1_BioSample_ww_template_v1.9_NWSS.xlsx Other-Template
Attachment-04_Component-1_BioSample_ww_template_v1.9_NWSS.xlsx Other-Template
Attachment-05_Component-1_SRA_ww_template_v5.7_nwss.xlsx Other-Template
Attachment-05_Component-1_SRA_ww_template_v5.7_nwss.xlsx Other-Template
Attachment-09_Component-1_NWSS_DCIPHER_Wastewater Data_CSV Template_v3_1_All Fields.csv Other-Template
Attachment-09_Component-1_NWSS_DCIPHER_Wastewater Data_CSV Template_v3_1_All Fields.csv Other-Template
Attachment-03_Component-1_ref-CDC_seq_manifest_data_dict.xlsx Sequence Manifest Data Dictionary IC Document
Attachment-03_Component-1_ref-CDC_seq_manifest_data_dict.xlsx Sequence Manifest Data Dictionary IC Document
Attachment-06_Component-1_ref-NCBI_DCIPHER_Crosswalk_DataDictionary.xlsx NCBI Crosswalk Data Dictionary IC Document
Attachment-06_Component-1_ref-NCBI_DCIPHER_Crosswalk_DataDictionary.xlsx NCBI Crosswalk Data Dictionary IC Document
Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf NWSS Bulk Upload Tool - screenshot IC Document
Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf NWSS Bulk Upload Tool - screenshot IC Document
Attachment-12_Component-1_ref-NWSS Data Dictionary_v5.0.0.xlsx NWSS Data Dictionary IC Document
Attachment-12_Component-1_ref-NWSS Data Dictionary_v5.0.0.xlsx NWSS Data Dictionary IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Component 1 - STLT Health Depts	Agency IC Tracking Number:	0920-23GL

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template	Attachment-04_Component-1_BioSample_ww_template_v1.9_NWSS.xlsx	Yes	Yes	Fillable Fileable
Other-Template	Attachment-05_Component-1_SRA_ww_template_v5.7_nwss.xlsx	Yes	Yes	Fillable Fileable
Other-Template	Attachment-09_Component-1_NWSS_DCIPHER_Wastewater Data_CSV Template_v3_1_All Fields.csv	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	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
Annual Number of Responses for this IC	114,400	114,400
Annual IC Time Burden (Hours)	114,400	114,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sequence Manifest Data Dictionary	Attachment-03_Component-1_ref-CDC_seq_manifest_data_dict.xlsx	10/30/2023
NCBI Crosswalk Data Dictionary	Attachment-06_Component-1_ref-NCBI_DCIPHER_Crosswalk_DataDictionary.xlsx	10/30/2023
NWSS Bulk Upload Tool - screenshot	Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf	10/30/2023
NWSS Data Dictionary	Attachment-12_Component-1_ref-NWSS Data Dictionary_v5.0.0.xlsx	10/30/2023

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