OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI

IC 258093 under ICR 202603-0920-014 · OMB 0920-0004.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI 0920-26-0150
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Aggregate case counts of person exposed to Highly Pathogenic Avian Influenza (HPAI) Attachment EE, Aggregate case counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

52 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 2,704 0 0 0 0 2,704
Annual IC Time Burden (Hours) 451 0 0 0 0 451
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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