Component 3 - STLT Health Dept Case Data

[NCEZID] National Wastewater Surveillance System for COVID-19 and other Infectious Disease Targets of Public Health Concern

Documents and Forms

Document Name Document Type
Attachment-10_Component-3_NWSS_DCIPHER_CaseData_CSV_Upload_Template.csv Other-Template
Attachment-10_Component-3_NWSS_DCIPHER_CaseData_CSV_Upload_Template.csv Other-Template
Attachment-11_Component-3_NWSS_DCIPHER_SewershedName_Crosswalk_CSV_Upload_Template.csv Other-Template
Attachment-11_Component-3_NWSS_DCIPHER_SewershedName_Crosswalk_CSV_Upload_Template.csv Other-Template
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-08_Component-3_ref-NWSS COVID Case Data Dictionary_v1_0_0.xlsx NWSS COVID Case Data Dictionary IC Document
Attachment-08_Component-3_ref-NWSS COVID Case Data Dictionary_v1_0_0.xlsx NWSS COVID Case Data Dictionary IC Document

Information Collection (IC) Details

IC Title:	Component 3 - STLT Health Dept Case Data	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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Template			Attachment-10_Component-3_NWSS_DCIPHER_CaseData_CSV_Upload_Template.csv		Yes	Yes	Fillable Fileable
Other-Template			Attachment-11_Component-3_NWSS_DCIPHER_SewershedName_Crosswalk_CSV_Upload_Template.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	3,664,595	3,664,595
Annual IC Time Burden (Hours)	305,383	305,383
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NWSS Bulk Upload Tool - screenshot	Attachment-07_Component-1-2-3_ref-NWSS_DCIPHER_BulkUploadTool_screenshot.pdf	10/30/2023
NWSS COVID Case Data Dictionary	Attachment-08_Component-3_ref-NWSS COVID Case Data Dictionary_v1_0_0.xlsx	10/30/2023

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