Information Collection

TTA Event Description Form

IC 252646 under ICR 202505-0930-005 · OMB 0930-0389.

Documents and Forms

Document Name Document Type
Form TTA Event Descript TTA Event Description Form Form and Instruction
Form TTA Event Descript TTA Event Description Form TTA Event Description Form Form and Instruction
TTA Event Descript TTA Event Description Form Attachment 1_TTA Event Description Form_1-10-2022.docx Form and Instruction
TTA Event Descript TTA Event Description Form Attachment 1_TTA Event Description Form_1-10-2022.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	TTA Event Description Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TTA Event Description Form	TTA Event Description Form	Attachment 1_TTA Event Description Form_1-10-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: TTA Event Description Form	FR Citation: 75 FR 28264

Number of Respondents: 113	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,424	3,424	2,000
Annual IC Time Burden (Hours)	868	548	320
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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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