[NCIRD] National Disease Surveillance Program - II. Disease Summaries

OMB 0920-0004

CDC requests approval for a Revision of 0920-0004 National Disease Surveillance Program - II. Disease Summaries. Revisions include addition of Forms, Discontinuation of Forms, and reformatting some questions. The overall result is a decrease in Burden Hours and Respondents.

The latest form for [NCIRD] National Disease Surveillance Program - II. Disease Summaries expires 2020-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
US WHO Colloborating Laboratories Influenza Testing Methods Assessment Form
US WHO Colloborating Laboratories Influenza Testing Methods Assessment Form
Arthropod (Vector)-Borne Diseases (Non-Human Data) Form and Instruction
Arthropod (Vector)-Borne Diseases (Non-Human Data) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Form and Instruction
Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI Form and Instruction
Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI Form and Instruction
Suspect Respiratory Virus Patient Form Form
Suspect Respiratory Virus Patient Form Form
Form CDC 55.20E U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Form
Form CDC 55.20E U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Form
Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Form
Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Form
Adenovirus Typing Report Form Form
Adenovirus Typing Report Form Form
Antiviral Resistant Influenza Infection Case Report Form Form
Antiviral Resistant Influenza Infection Case Report Form Form
Human Infections with Novel Influenza A Virus Severe Outcomes Form
Human Infections with Novel Influenza A Virus Severe Outcomes Form
Influenza Associated Pediatric Mortality Case Report Form Form
Influenza Associated Pediatric Mortality Case Report Form Form
WHO Collaborating Center for Influenza Virus Surveillance Form
WHO Collaborating Center for Influenza Virus Surveillance Form
Human Infection with Novel Influenza A Virus Case Report Form Form
Human Infection with Novel Influenza A Virus Case Report Form Form
Novel Influenza A Virus Case Screening Form Form
Novel Influenza A Virus Case Screening Form Form
Viral Gastroenteritis Outbreak Submission Form Form
Viral Gastroenteritis Outbreak Submission Form Form
Form CDC 55.83A National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
Form CDC 55.83A National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
Form CDC 55.90 National Enterovirus Surveillance Report 55.9 Form
Form CDC 55.90 National Enterovirus Surveillance Report 55.9 Form
ICR Change request memo_OMB 0920-0004 20240503.docx Justification for No Material/Nonsubstantive Change
ICR Change request memo_OMB 0920-0004 20240503.docx Justification for No Material/Nonsubstantive Change
Attachment DD 103122NL-NR.pdf Supplementary Document
Attachment DD 103122NL-NR.pdf Supplementary Document
Attachment C_Disease Summaries 0920-0004 _2023 FINAL_final.docx Supplementary Document
Attachment C_Disease Summaries 0920-0004 _2023 FINAL_final.docx Supplementary Document
Attachment B 60 Day Federal Register Notice.pdf Supplementary Document
Attachment B 60 Day Federal Register Notice.pdf Supplementary Document
Authorizing Legislation.pdf Supplementary Document
Authorizing Legislation.pdf Supplementary Document
SSB 0920-0004 REINSTATEMENT 2023 FINAL.docx Supporting Statement B
SSB 0920-0004 REINSTATEMENT 2023 FINAL.docx Supporting Statement B
SSA 0920-0004 REINSTATEMENT 2023 FINAL_final.docx Supporting Statement A
SSA 0920-0004 REINSTATEMENT 2023 FINAL_final.docx Supporting Statement A
US WHO Colloborating Laboratories Influenza Testing Methods Assessment Form
US WHO Colloborating Laboratories Influenza Testing Methods Assessment Form
Arthropod (Vector)-Borne Diseases (Non-Human Data) Form and Instruction
Arthropod (Vector)-Borne Diseases (Non-Human Data) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Form and Instruction
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Form and Instruction
Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI Form and Instruction
Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI Form and Instruction
Suspect Respiratory Virus Patient Form Form
Suspect Respiratory Virus Patient Form Form
U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Form
U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Form
Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Form
Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Form
Adenovirus Typing Report Form Form
Adenovirus Typing Report Form Form
Antiviral Resistant Influenza Infection Case Report Form Form
Antiviral Resistant Influenza Infection Case Report Form Form
Human Infections with Novel Influenza A Virus Severe Outcomes Form
Human Infections with Novel Influenza A Virus Severe Outcomes Form
Influenza Virus Electronic year round PHIN-MS Other-Variables for Reporting
Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements Other-Variables for Electronic Reporting
Influenza Associated Pediatric Mortality Case Report Form Form
Influenza Associated Pediatric Mortality Case Report Form Form
WHO Collaborating Center for Influenza Virus Surveillance Form
WHO Collaborating Center for Influenza Virus Surveillance Form
Human Infection with Novel Influenza A Virus Case Report Form Form
Human Infection with Novel Influenza A Virus Case Report Form Form
Novel Influenza A Virus Case Screening Form Form
Novel Influenza A Virus Case Screening Form Form
Viral Gastroenteritis Outbreak Submission Form Form
Viral Gastroenteritis Outbreak Submission Form Form
National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
National Enterovirus Surveillance Report 55.9 Form
National Enterovirus Surveillance Report 55.9 Form

All Historical Document Collections

202405-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-05-07
202301-0920-009 Approved without change	Reinstatement with change of a previously approved collection	2023-01-27
201707-0920-010 Approved without change	Revision of a currently approved collection	2017-08-31
201612-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-12-23
201412-0920-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-12-23
201407-0920-012 Approved without change	Revision of a currently approved collection	2014-08-25
201402-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-02-11
201401-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-01-06
201304-0920-017 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-04-25
201304-0920-008 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2013-04-17
201304-0920-006 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2013-04-09
201108-0920-011 Approved with change	Revision of a currently approved collection	2011-08-29
201108-0920-007 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2011-08-19
201011-0920-006 Improperly submitted and continue	Revision of a currently approved collection	2010-11-24
201005-0920-006 Approved without change	Extension without change of a currently approved collection	2010-05-26
200901-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2009-01-07
200809-0920-003 Approved with change	No material or nonsubstantive change to a currently approved collection	2008-09-29
200805-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-05-15
200710-0920-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2007-10-17
200701-0920-004 Approved without change	Revision of a currently approved collection	2007-01-19
200510-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-10-28
200507-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2005-07-25
200311-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-11-19
200303-0920-007 Approved without change	Revision of a currently approved collection	2003-03-28
200205-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2002-05-15
199912-0920-002 Approved without change	Reinstatement with change of a previously approved collection	1999-12-29
199308-0920-004 Approved without change	Reinstatement with change of a previously approved collection	1993-08-11
199011-0920-001 Approved without change	Revision of a currently approved collection	1990-11-07
198708-0920-004 Approved without change	Revision of a currently approved collection	1987-08-26
198408-0920-005 Approved without change	Revision of a currently approved collection	1984-08-21
198107-0920-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
198012-0920-001 Approved without change	Revision of a currently approved collection	1980-12-16
197703-0920-002 Approved without change	Revision of a currently approved collection	1977-03-31
197412-0920-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1974-12-23
197411-0920-001 Approved without change	Revision of a currently approved collection	1974-11-01

OMB Details

Att F US WHO Colloborating Laboratories Influenza Testing Methods Assessment

Federal Enterprise Architecture: Health - Public Health Monitoring

Form NA

WHO Collaborating Laboratories Influenza Testing Methods Assessment

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.