Information Collection

I-TF Online State Add Update Form

IC 243263 under ICR 202311-0930-001 · OMB 0930-0386.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-TF Online State I-TF Online State Add Update Form	Form and Instruction
I-TF Online State I-TF Online State Add Update Form Attachment H. I-TF Online State Add Update Form final.docx	Form and Instruction
I-TF Online State I-TF Online State Add Update Form Attachment H. I-TF Online State Add Update Form final.docx	Form and Instruction
Attachment H1. I-TF Online State Add Update Form - Track Changes final.pdf I-TF Online State Add Update Form - Tracked	IC Document
Attachment H1. I-TF Online State Add Update Form - Track Changes final.pdf I-TF Online State Add Update Form - Tracked	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	I-TF Online State Add Update Form	I-TF Online State Add Update Form	Attachment H. I-TF Online State Add Update Form final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 61

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	3,050	-1,150	4,200
Annual IC Time Burden (Hours)	244	-92	336
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
I-TF Online State Add Update Form - Tracked	Attachment H1. I-TF Online State Add Update Form - Track Changes final.pdf	11/30/2023

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