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Federal forms, ICRs, and supporting documents

Information Collection

Freely Associated States - One-time Addition of Diseases and Data Elements

IC 235861 under ICR 202504-0920-009 · OMB 0920-0728.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Freely Associated States - One-time Addition of Diseases and Data Elements
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Att 6 - Core Data.xlsx Yes Yes Fillable Fileable
Instruction Att 7 - Laboratory Data.xlsx Yes Yes Fillable Fileable
Instruction Att 8 - Vaccine Data.xlsx Yes Yes Fillable Fileable
Instruction Att 9 - VPD Data.xlsx Yes Yes Fillable Fileable
Instruction 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

3 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 3 0 0 0 0 3
Annual IC Time Burden (Hours) 6 0 -3 0 0 9
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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