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Federal forms, ICRs, and supporting documents

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ABLES Case Records Form

IC 231453 under ICR 202405-0920-005 · OMB 0920-0931.

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Form and Instruction
Form and Instruction
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ABLES Case Records Form 0920-0931
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0931 ABLES Case Records Form Att6a ABLES Case Rcrds Frm_20231026.xlsx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136 “Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

32 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 32 0 0 0 0 32
Annual IC Time Burden (Hours) 256 0 0 0 0 256
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ABLES Standardized Varible Formats Att6a1 ABLES Stnd Var_RTsai_20210219.docx 03/12/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.