Information Collection

Arthropod (Vector)-Borne Diseases (Non-Human Data)

IC 258096 under ICR 202603-0920-014 · OMB 0920-0004.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Arthropod (Vector)-Borne Diseases (Non-Human Data) Arthropod (Vector)-Borne Diseases (Non-Human Data)	Form and Instruction
Arthropod (Vector)-Borne Diseases (Non-Human Data) Attachment HH, Arthropod Vector Borne Diseases NonHuman Data.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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 57

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	2,964	2,964
Annual IC Time Burden (Hours)	2,964	2,964
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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