Information Collection

Annual Synar Report Format

IC 7625 under ICR 202412-0930-006 · OMB 0930-0222.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ASR Final Annual Synar Report Format	Form and Instruction
Form ASR Final ASR Final Annual Synar Report Format	Form and Instruction
Form ASR Instructions ASR Instructions Annual Synar Report Format	Form and Instruction
ASR Final ASR Final FFY 2025 ASR FINAL.docx	Form and Instruction
ASR Instructions ASR Instructions FFY 2025 ASR Instructions Final.docx	Form and Instruction
ASR Final ASR Final FFY 2025 ASR FINAL.docx	Form and Instruction
ASR Instructions ASR Instructions FFY 2025 ASR Instructions.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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	ASR Final				Yes	Yes	Fillable Fileable
Form and Instruction	ASR Instructions				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: SYNAR

FR Citation: 75 FR 28264

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	1,062	1,062
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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