Information Collection

Advanced Review

IC 234893 under ICR 202508-0920-008 · OMB 0920-1092.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1092 Att 2b_Advanced Review Topics_3_17_2025 Advanced Review	Form
Att 7b_Advanced Review Topics.docx	Other-Discussion Guide
Att 7b_Advanced Review Topics.docx	Other-Discussion Guide
0920-1092 Att 2b_Advanced Review Topics_3_17_2025 Att 2b_Advanced Review Topics_3_17_2025.docx	Form
0920-1092 Att 2b_Advanced Review Topics_3_17_2025 Att 2b_Advanced Review Topics_3_17_2025.docx	Form

IC Title:

Advanced Review

Agency IC Tracking Number:

0920-1092

Is this a Common Form? No

IC Status: Modified

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
Other-Discussion Guide					Yes	No	Paper Only
Form	0920-1092				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36

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	Previously Approved
Annual Number of Responses for this IC	936	-156	1,092
Annual IC Time Burden (Hours)	234	-39	273
Annual IC Cost Burden (Dollars)	0	-12,864	12,864

Documents for IC

table that charts IC Documents
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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