Information Collection

National ART Surveillance System

IC 43614 under ICR 202412-0920-017 · OMB 0920-0556.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0556 National ART Surveillance System	Form and Instruction
Form 0920-0556 National ART Surveillance System (NASS) [screen captures] National ART Surveillance System	Form and Instruction
0920-0556 National ART Surveillance System (NASS) [screen captures AttachmentsAtt C1. NASS Data Collection Screens.pdf	Form and Instruction
0920-0556 National ART Surveillance System (NASS) [screen captures AttachmentsAtt C1. NASS Data Collection Screens_clean.pdf	Form and Instruction
AttachmentsAtt C2. NASS Annual Submission Instructions.pdf C2. Annual Submission Instructions	IC Document
AttachmentsAtt C2. NASS Annual Submission Instructions.pdf C2. Annual Submission Instructions	IC Document
AttachmentsAtt C3. NASS-User-Guide-vSept222022.pdf C3. NASS User's Guide	IC Document
AttachmentsAtt C3. NASS-User-Guide-vSept222022.pdf C3. NASS User's Guide	IC Document

IC Title:

Agency IC Tracking Number:

0920-0556

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	0920-0556				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 453

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	413,589	108,069	305,520
Annual IC Time Burden (Hours)	296,406	77,450	218,956
Annual IC Cost Burden (Dollars)	0	-10,072,078	10,072,078

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
C2. Annual Submission Instructions		12/20/2024
C3. NASS User's Guide		12/20/2024

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

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