Information Collection

[OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs)

IC 279752 under ICR 202506-0920-002 · OMB 0920-1050.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Webinar Discussion — Large Local Health Department Questions [OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs)	Form and Instruction
Webinar Discussion — Medium/Small Local Health Department Questions [OPHDST] Improving Health Data Exchange with Local Health Departments (LHDs)	Form and Instruction
Webinar Discussion — Large Local Health Department Quest Att B - LHD Listening Sessions.docx	Form and Instruction
Webinar Discussion — Medium/Small Local Health Departmen Att C - LHD Listening Sessions.docx	Form and Instruction
Att A - LHD Listening Sessions.docx Recruitment Email	IC Document
GenIC Template - LHD Listening Sessions_final.docx GenIC Request Template	IC Document
SSA - LHD Listening Sessions.docx Summary Box	IC Document

IC Title:

Agency IC Tracking Number:

0920-26-0159

IC Status: New

Obligation to Respond: Voluntary

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	n/a				Yes	Yes	Fillable Fileable
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

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