OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Ongoing Transfer of ED3N Data Elements

IC 257072 under ICR 202602-0920-011 · OMB 0920-1391.

Documents and Forms
Document Name
Document Type
Other-Specification of Data Elements
Information Collection (IC) Details

View Information Collection (IC)

Ongoing Transfer of ED3N Data Elements 0920-26-0106
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Specification of Data Elements for Electronic Transfer Att3b ED3N Ongoing Transfer Data Elements_v2.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

53 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 19,345 0 0 0 0 19,345
Annual IC Time Burden (Hours) 322 0 0 0 0 322
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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