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View Information Collection (IC)

View Information Collection (IC)

SHD Reporting (14EU) and Testing Practices and TB Elimination FOA (14GS)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey for Epidemiologist Attachment F Campy Data Collection Epi Instrument (online version) 12 13 13.docx Yes Yes Fillable Fileable
Form none Survey for Microbiolgist Attachment K Campy Data Collection Lab Instrument (online version) 12 13 13.docx Yes Yes Fillable Fileable
Form none TB Instrument - Web ATTACHMENT B- Data Collection Instrument_Online Version docx.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

230 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 230 0 0 0 0 0
Annual IC Time Burden (Hours) 58 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment A Winnable battles 12 12 13 Attachement A Winnable battles 12 12 13.pdf 12/19/2013
Attachment B NNDSS website 12 12 13 Attachment B NNDSS website 12 12 13.pdf 12/19/2013
Attachment C LEDS website 12 12 13 Attachment C LEDS website 12 12 13.pdf 12/19/2013
Attachment D FoodNet website 12 12 13 Attachment D FoodNet website 12 12 13.pdf 12/19/2013
Email - Epi Attachment G Introductory Email_Epi.docx 12/19/2013
Email - Lab Attachment L Introductory Email_Lab.docx 12/19/2013
Attachment H 7 day follow up email_Epi Attchment H 7 day follow up email_Epi.docx 12/19/2013
Attachment M 7 day follow up email_Lab Attachment M 7 day follow up email_Lab.docx 12/19/2013
Attchment I _20 day follow up email_Epi Attchment I _20 day follow up email_Epi.docx 12/19/2013
Attachment N 20 day follow up email_Lab Attachment N 20 day follow up email_Lab.docx 12/19/2013
Supporting Statement Part B Campy_SupportingStatement_B 12 20 13.docx 12/20/2013
Supporting Statement Part A Campy_SupportingStatement_A 12 20 13.docx 12/20/2013
TB Advance Notice Emai; ATTACHMENT C - Advance Notification Email docx.docx 01/21/2014
TB Instructions ATTACHMENT D - Email with Instructions to Participate docx.docx 01/21/2014
TB 1st Reminder ATTACHMENT E - 1st Reminder Email (Day 10) docx.docx 01/21/2014
TB 2nd Reminder ATTACHMENT F - 2nd Reminder Email (Day 17) docx.docx 01/21/2014
TB Instrument - Word ATTACHMENT A- Data Collection Instrument_Word Version docx.docx 01/21/2014
TB SS Part B Supporting Statement_B docx.docx 01/22/2014
TB SS Part A Supporting Statement_A docx.docx 01/22/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.