OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

States - Weekly automated

IC 209482 under ICR 202504-0920-009 · OMB 0920-0728.

Documents and Forms
Document Name
Document Type
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data elements
Other-Data Elements
Information Collection (IC) Details

View Information Collection (IC)

States - Weekly automated
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data elements Att 5 - Core Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 7 - Laboratory Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 8 - Vaccine Data.xlsx Yes Yes Fillable Fileable
Other-Data elements Att 8 - VPD Data.xlsx Yes Yes Fillable Fileable
Other-Data Elements Att 11 - Disease-specific data_REV 08272025.xlsx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

50 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 2,600 0 0 0 0 2,600
Annual IC Time Burden (Hours) 867 0 0 0 0 867
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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