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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Cryptosporidiosis: Diagnostic Laboratory and Reporting Practices (CRYPTO) AND Incidents in the National Poison Data System (POISON CENTERS)
Agency IC Tracking Number:
15DJ_15DK
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
None
CRYPTOSPORIDIOSIS Assessment Tool
Att C Crypto_Instrument - Web Version.docx
None
Yes
Yes
Fillable Fileable
Form and Instruction
None
POISON CENTERS Assessment Tool
Att C Poison Centers_Instrument - Web Version.docx
None
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
152
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
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
152
0
152
0
0
0
Annual IC Time Burden (Hours)
30
0
30
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CRYPTO-SSA
CRYPTO-SSA.docx
11/06/2014
CRYPTO-SSB
CRYPTO-SSB.docx
11/06/2014
CRYPTO-Introductory email
D_Introductory Email.docx
11/06/2014
CRYPTO-Day 7 Reminder email
E_Day 7 Reminder Email.docx
11/06/2014
CRYPTO-Day 20 Reminder email
F_Day 20 Reminder Email.docx
11/06/2014
CRYPTO-Rates of Crypto Figure
A_Figure-Rates of Crypto.docx
11/06/2014
POISON CENTERS-SSA
PoisonCtr-SSA.docx
11/06/2014
POISON CENTERS-SSB
PoisonCtr-SSB.docx
11/06/2014
POISON CENTERS-Protocol Example email
Att. A Protocol Example Email.docx
11/06/2014
POISON CENTERS-Introductory email
Att. D - Introductory Email.docx
11/06/2014
POISON CENTERS-Sample Annual Report
Att. G - Sample Annual Report.docx
11/06/2014
POISON CENTERS-Reminder email
Att. E - Reminder Email.docx
11/06/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.