Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
0920-0004 Arboviral Diseases Modified 80997 5400 0 Instruction
0920-0004 Cholera and Other Vibrio Illnesses 52.79 Modified 450 150 0 Instruction
0920-0004 Diarrheal Diseases Campylobacter Modified 2756 138 0 Form 1 Diarrheal Disease Surveillance Campylobacter
0920-0004 Diarrheal Diseases Salmonella Modified 2756 138 0 Instruction
0920-0004 Diarrheal Diseases Shigella Modified 2756 138 0 Instruction
0920-0004 Foodborne Outbreak 52.13 Modified 1701 567 0 Instruction
0920-0004 Influenza Annual Survey 55.31A Modified 83 21 0 Instruction
0920-0004 Influenza Virus 55.31 (fax and internet Oct-May) Modified 693 116 0 Instruction
0920-0004 Influenza Virus 55.31 (fax and internet year-round) Modified 2028 338 0 Instruction
0920-0004 Influenza Virus PHLIS (Oct-May) electronic Modified 297 25 0 Instruction
0920-0004 Influenza Virus PHLIS (year-round) electronic Modified 728 61 0 Instruction
0920-0004 Influenza-Like Illness (Oct-May) 55.20 Modified 27192 6798 0 Instruction
0920-0004 Influenza-Like Illness (year-round) 55.20E Modified 25792 6448 0 Instruction
0920-0004 Listeria Case Form Modified 53 27 0 Instruction
0920-0004 National Enterovirus Surveillance Report 55.9 Modified 300 75 0 Instruction
0920-0004 National Respiratory and Enteric Virus Surveillance System NREVSS 55.83A-D Modified 4680 780 0 Instruction
0920-0004 Rabies Monthly Report (electronic) Modified 600 80 0 Instruction
0920-0004 Rabies Monthly Report (paper) 55.28 Modified 36 9 0 Instruction
0920-0004 Suspected Viral Gastroenteritis (AKA Calicivirus Surveillance) Modified 100 8 0 Instruction
0920-0004 Waterborne Diseases Outbreak 52.12 Modified 57 19 0 Form CDC 52.12 Waterborne Disease Outbreak Report
HABISS Modified 120 960 0 Form No number HABISS
HABISS Monthly Reporting Form Modified 120 60 0 Form No Number HABISS Report
Total burden requested under this ICR: 154295 22356 0  
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