FluSurv-NET Laboratory Survey 2023–2024 Season

[NCEZID] Emerging Infections Program

Documents and Forms

Document Name Document Type
Form FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season Form
Form FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season Form
FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season FSN.300.4 FluSurv-NET_Lab_Survey.pdf Form
FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season FSN.300.4 FluSurv-NET_Lab_Survey.pdf Form

Information Collection (IC) Details

IC Title:	FluSurv-NET Laboratory Survey 2023–2024 Season	Agency IC Tracking Number:	0920-0978

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 301 PHSA

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FSN.300.4	FluSurv-NET Laboratory Survey 2023–2024 Season	FSN.300.4 FluSurv-NET_Lab_Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	40	40
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.