Information Collection

Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements

IC 199051 under ICR 202603-0920-014 · OMB 0920-0004.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment AA, Influenza Virus (Electronic year round) PHLIP_HL7 messaging Data Elements.pdf	Other-Variables for Electronic Repor

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Variables for Electronic Reporting					Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 64

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,328	364	2,964
Annual IC Time Burden (Hours)	277	30	247
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].