Information Collection

National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment

IC 178365 under ICR 202603-0920-014 · OMB 0920-0004.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC 55.83A NREVSS Antigen Detection Worksheet National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Form and Instruction
Form CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Form and Instruction
Form CDC 55.83B NREVSS Virus Isolation (culture) Worksheet National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Form and Instruction
CDC 55.83A NREVSS Antigen Detection Worksheet Attachment U1, NREVSS Antigen Detection Worksheet (CDC 55.83A) (electronic).pdf	Form and Instruction
CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet Attachment U3, NREVSS Polymerase Chain Reaction (PCR) Worksheet (CDC 55.83D) (electronic).pdf	Form and Instruction
CDC 55.83B NREVSS Virus Isolation (culture) Worksheet Attachment U2, NREVSS Virus Isolation (Culture) Worksheet (CDC 55.83B) (electronic).pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

0920-26-0150

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.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CDC 55.83A	NA	Yes	Yes	Fillable Printable
Form and Instruction	CDC 55.83D	NA	Yes	Yes	Fillable Printable
Form and Instruction	CDC 55.83B	NA	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 550

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
	Requested	Previously Approved
Annual Number of Responses for this IC	28,600	28,600
Annual IC Time Burden (Hours)	7,150	7,150
Annual IC Cost Burden (Dollars)	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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