Information Collection

Implementation of new HL7 messages-IT Initial Set up

IC 271467 under ICR 202409-0920-016 · OMB 0920-1310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1310 can be found here:

Documents and Forms

Document Name Document Type
OMB Control Header and Burden Statement IT Initial Setup.docx Other-OMB Header and Burden Statemen
OMB Control Header and Burden Statement IT Initial Setup.docx Other-OMB Header and Burden Statemen

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Implementation of new HL7 messages-IT Initial Set up	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-OMB Header and Burden Statement			OMB Control Header and Burden Statement IT Initial Setup.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11	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	44	44
Annual IC Time Burden (Hours)	132	132
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.