OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Att 3e_Initial Outbreak Report Form

IC 248661 under ICR 202403-0920-014 · OMB 0920-1353.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Att 3e_Initial Outbreak Report Form 0920-1353
 
Yes Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1353 Initial Outbreak Report Form Att 3e_Outbreak Summary Report_5-18-2021_rev.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

59 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 118 0 0 0 0 118
Annual IC Time Burden (Hours) 39 0 0 0 0 39
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.