Advanced Review

[NCCDPHP]Sudden Death in the Young Registry

Documents and Forms

Document Name Document Type
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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Discussion Guide			Att 7b_Advanced Review Topics.docx		Yes	No	Paper Only
Form	0920-1092	Att 2b_Advanced Review Topics_3_17_2025	Att 2b_Advanced Review Topics_3_17_2025.docx		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 %

	Requested	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

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.