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
Form None
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
Att E_WHO Collaborating Center for Influenza Virus Surveillance Internet Year Round Unchanged 1820 303 0 Form CDC 55.31
Att F US WHO Colloborating Laboratories Influenza Testing Methods Assessment Unchanged 87 15 0 Form CDC 55.31A
Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly Unchanged 93600 15600 0 Form CDC 55.20
Att I_ US Outpatient Influenza-like Illiness Surveillance Network (ILINet) Daily Reports Unchanged 27375 4563 0 Form None
Att J_Influenza Associated Pediatric Mortality Case Report Form Unchanged 114 57 0 Form none
Att L Human Infection with Novel Influenza A Virus with Suspected Avian Source Unchanged 57 29 0 Form None
Att M Human Infections with Novel Influenza A Virus Severe Outcomes Unchanged 57 86 0 Form None
Att N Novel Influenza A Virus Infection Contact Tracing Form Unchanged 57 29 0 Form None
Att O_Novel Influenza A Virus Status Case Status Summary Unchanged 57 14 0 Form None
Att P Novel Influenza A Virus Case Screening Form Unchanged 57 14 0 Form None
Att Q_122 CMRS - City Health Officer or Vital Statistics Registrars Daily Mortality Report Unchanged 21170 4234 0 Form CDC 43.50
Att R_CMRS - City Health Officer or Vital Statistics Registrars Weekly Mortality Report Unchanged 6344 1269 0 Form none
Form CDC 43.5
Att S_Aggregate Hospitalization and Death Reporting Activity Weekly Report Form Unchanged 2912 485 0 Form none
Att T Antiviral Resistant Influenza Infection Case Report Form Unchanged 171 86 0 Form none
Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Unchanged 15600 3900 0 Form CDC 55.83
Form CDC 55.83A
Form CDC 55.83D
Form CDC 55.83B
Att V_ National Enterovirus Surveillance Report 55.9 Unchanged 300 75 0 Form CDC 55.90
Att W Adenovirus Typing Report Form Unchanged 300 75 0 Form None
Att X Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Unchanged 171 71 0 Form None
Att Y_ Form for Submitting Specimens from Suspected Norovirus Outbreak Unchanged 100 25 0 Form None
Att Z_ Waterborne Diseases Transmission Modified 59 20 0 Form CDC 52.12
Total burden requested under this ICR: 175452 32012 0  
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