Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Att K Human Infection with Novel Influenza A Virus Case Report Form Unchanged 342 171 0 Form none Human Infection with Novel Influenza A Virus Case Report Form
Form None Human Infection with Novel Influenza A Virus Case Report Form
Att AA_ Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements Unchanged 2548 212 0 Other-Variables for Electronic Reporting
Att BB_ Influenza Virus Electronic year round PHIN-MS Unchanged 156 13 0 Other-Variables for Reporting
Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact Modified 1998 666 0 Form CDC 52.13 NORS - Foodborne, Person-to-Person, Animal Contact, Environmental Contamination, Unknown Transmission Mode
Att E_WHO Collaborating Center for Influenza Virus Surveillance Internet Year Round Unchanged 1820 303 0 Form CDC 55.31 WHO Collaborating Center for Influenza Virus Surveillance (Internet: Year Round)
Att F US WHO Colloborating Laboratories Influenza Testing Methods Assessment Unchanged 87 15 0 Form CDC 55.31A US WHO Collaborating Laboratories Flu Testing Methods Assessment
Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly Unchanged 93600 15600 0 Form CDC 55.20 US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly
Att I_ US Outpatient Influenza-like Illiness Surveillance Network (ILINet) Daily Reports Unchanged 27375 4563 0 Form None US Outpatient Influenza like Illness Surveillance Network (ILINet) Daily Reports
Att J_Influenza Associated Pediatric Mortality Case Report Form Unchanged 114 57 0 Form none Influenza-Associated Pediatric Mortality Case Report
Att L Human Infection with Novel Influenza A Virus with Suspected Avian Source Unchanged 57 29 0 Form None Human Infection with Novel Influenza A Virus with Suspected Avian Source
Att M Human Infections with Novel Influenza A Virus Severe Outcomes Unchanged 57 86 0 Form None Human Infection with Novel Influenza A Virus Severe Outcomes
Att N Novel Influenza A Virus Infection Contact Tracing Form Unchanged 57 29 0 Form None Novel Influenza A Virus Infection Contact Tracing Form
Att O_Novel Influenza A Virus Status Case Status Summary Unchanged 57 14 0 Form None Novel Influenza A Virus Case Status Summary
Att P Novel Influenza A Virus Case Screening Form Unchanged 57 14 0 Form None Novel Influenza A Virus Case Screening Form
Att Q_122 CMRS - City Health Officer or Vital Statistics Registrars Daily Mortality Report Unchanged 21170 4234 0 Form CDC 43.50 122 CMRS -City Health Officers or Vital Statistics Registrars Daily Mortality Report
Att R_CMRS - City Health Officer or Vital Statistics Registrars Weekly Mortality Report Unchanged 6344 1269 0 Form none CMRS Weekly
Form CDC 43.5 122 CMRS-City Health Officers or Vital Statistics Registrars Weekly Mortality Report
Att S_Aggregate Hospitalization and Death Reporting Activity Weekly Report Form Unchanged 2912 485 0 Form none Aggregate Hospital
Att T Antiviral Resistant Influenza Infection Case Report Form Unchanged 171 86 0 Form none Antiviral-Resistant Influenza Infection Case Report
Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Unchanged 15600 3900 0 Form CDC 55.83 National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment
Form CDC 55.83A NREVSS Antigen Detection Worksheet
Form CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet
Form CDC 55.83B NREVSS Virus Isolation (culture) Worksheet
Att V_ National Enterovirus Surveillance Report 55.9 Unchanged 300 75 0 Form CDC 55.90 Enterovirus Surveillance System Report Form
Att W Adenovirus Typing Report Form Unchanged 300 75 0 Form None Adenovirus Typing Report Form
Att X Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Unchanged 171 71 0 Form None Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form
Att Y_ Form for Submitting Specimens from Suspected Norovirus Outbreak Unchanged 100 25 0 Form None Form for Submitting Specimens from Suspected Norovirus Outbreaks
Att Z_ Waterborne Diseases Transmission Modified 59 20 0 Form CDC 52.12 NORS - Waterborne Disease Transmission
Total burden requested under this ICR: 175452 32012 0  
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