Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Cities - Annual	Modified	2	150	5498	Other-Data elements
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Cities - One time Addition of Diseases and Data Elements	Modified	2	42	1873	Other-Data elements
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Cities - Weekly - NMI Implementation	Modified	104	416	18549	Other-Data elements
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Cities - Weekly - automated	Modified	104	35	1561	Other-Data elements
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Cities - Weekly - non-automated	Modified	104	208	7623	Other-Data elements
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Freely Associated States - Annual	Modified	3	15	550	Other-Data elements
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Freely Associated States - One-time Addition of Diseases and Data Elements	Modified	3	21	936	Other-Data elements
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Freely Associated States - Weekly (automated)	Modified	156	52	2319	Other-Data elements
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Freely Associated States - Weekly, quarterly - non-automated	Modified	168	56	2052	Other-Data elements
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States - Annual	Modified	50	3750	137438	Other-Data elements
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States - One time addition of diseases and data elements	Modified	50	1050	46820	Other-Data elements
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States - One-time SO/GI Survey	Modified	12	1	37	Form	none	SO/GI Survey
States - Weekly NMI Implementation	Modified	2600	10400	463736	Other-Data elements
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States - Weekly automated	Modified	2600	867	38660	Other-Data elements
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States - Weekly non-automated	Modified	520	1040	38116	Other-Data elements
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Territories - Annual	Modified	5	25	916	Other-Data elements
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Territories - One time addition of diseases and data elements	Modified	5	50	2230	Other-Data elements
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Territories - Weekly automated	Modified	260	87	3879	Other-Data elements
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Territories - Weekly, NMI Implementation	Modified	260	1040	46374	Other-Data elements
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Territories - Weekly, quarterly - non-automated	Modified	280	93	3408	Other-Data elements
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Total burden requested under this ICR:		7288	19398	822575
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