Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adenovirus Typing Report Form Modified 52 13 0 Form 0920-26-0003
Aggregate counts of persons exposed to Highly Pathogenic Avian Influenza (HPAI Unchanged 2704 451 0 Form and Instruction n/a
Form and Instruction 0920-0004
Antiviral Resistant Influenza Infection Case Report Form Unchanged 171 86 0 Form none
Arthropod (Vector)-Borne Diseases (Non-Human Data) Unchanged 2964 2964 0 Form and Instruction n/a
Human Infection with Novel Influenza A Virus Case Report Form Unchanged 114 67 0 Form NA
Form and Instruction 0920-0004
Human Infections with Novel Influenza A Virus Severe Outcomes Unchanged 57 86 0 Form None
Influenza Associated Pediatric Mortality Case Report Form Unchanged 114 57 0 Form NA
Influenza Virus Electronic year round - PHLIP_HL7 Messaging Data Elements Unchanged 2964 247 0 Other-Variables for Electronic Reporting
Influenza Virus Electronic year round PHIN-MS Unchanged 156 13 0 Other-Variables for Reporting
Middle East Respiratory Syndrome Coronavirus (MERS) Patient Under Investigation (PUI) Form Unchanged 171 71 0 Form None
National Enterovirus Surveillance Report 55.9 Unchanged 240 60 0 Form CDC 55.90
National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Unchanged 28600 7150 0 Form CDC 55.83A
Form CDC 55.83D
Form CDC 55.83B
Novel Influenza A Virus Case Screening Form Unchanged 57 14 0 Form None
Form and Instruction 0920-0004
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Form (CRF) Unchanged 104 78 0 Form and Instruction n/a
Pediatric Hepatitis of Unknown Etiology Medical Record Abstraction Short Form Unchanged 208 52 0 Form and Instruction n/a
Suspect Respiratory Virus Patient Form Unchanged 50 25 0 Form NA
U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Workfolder_CDC 55.20E Unchanged 93600 15600 0 Form CDC 55.20E
US WHO Colloborating Laboratories Influenza Testing Methods Assessment Unchanged 113 19 0 Form NA
Viral Gastroenteritis Outbreak Submission Form Unchanged 100 8 0 Form None
WHO Collaborating Center for Influenza Virus Surveillance Unchanged 2444 407 0 Form NA
Total burden requested under this ICR: 134983 27468 0  
To view an IC, click on IC Title