Information Collection

Cities - Weekly - non-automated

IC 228448 under ICR 202504-0920-009 · OMB 0920-0728.

Documents and Forms

Document Name Document Type
Att 6 - Core Data.xlsx Other-Data elements
Att 6 - Core Data.xlsx Other-Data elements
Att 7 - Laboratory Data.xlsx Other-Data elements
Att 7 - Laboratory Data.xlsx Other-Data elements
Att 8 - Vaccine Data.xlsx Other-Data elements
Att 8 - Vaccine Data.xlsx Other-Data elements
Att 9 - VPD Data.xlsx Other-Data elements
Att 9 - VPD Data.xlsx Other-Data elements
Att 11 - Disease-specific data.xlsx Other-Data elements
Att 11 - Disease-specific data_REV 08272025.xlsx Other-Data elements
Attachment 4 Core Data.xlsx Attachment 4 Core Data IC Document
Attachment 4 Core Data.xlsx Attachment 4 Core Data IC Document
Attachment 5 Disease-Specific Data.xlsx Attachment 5 Disease-Specific Data IC Document
Attachment 5 Disease-Specific Data.xlsx Attachment 5 Disease-Specific Data IC Document
Att 4 - Core Data.xlsx IC Document
Att 4 - Core Data.xlsx IC Document
Att 5 - Laboratory Data_03172017.xlsx IC Document
Att 5 - Laboratory Data_03172017.xlsx IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Cities - Weekly - non-automated	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data elements	Att 6 - 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 9 - VPD Data.xlsx		Yes	Yes	Fillable Fileable
Other-Data elements	Att 11 - Disease-specific data_REV 08272025.xlsx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 76 FR 4458

Number of Respondents: 2	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	104	104
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Attachment 4 Core Data	Attachment 4 Core Data.xlsx	11/13/2013
Attachment 5 Disease-Specific Data	Attachment 5 Disease-Specific Data.xlsx	11/13/2013
	Att 4 - Core Data.xlsx	09/21/2015
	Att 5 - Laboratory Data_03172017.xlsx	05/22/2017

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

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