Information Collection

Registration

IC 190575 under ICR 202603-0920-002 · OMB 0920-0824.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-26-0107 Registration Screenshot Registration	Form
0920-26-0107 Registration Screenshot Att 5 - Registration Screenshot .pdf	Form

IC Title:

Registration

Agency IC Tracking Number:

0920-26-0107

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
Form	0920-26-0107				Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: Epidemiologic Studies and Surveilance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 15

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	150	-1,850	2,000
Annual IC Time Burden (Hours)	25	-308	333
Annual IC Cost Burden (Dollars)	0	0	0

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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