View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Cities - One time Addition of Diseases and Data Elements 0920-0728
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Form and Instruction 0920-0728 Yes Yes Printable Only

Health Public Health Monitoring

09-20-0136 Epidemiologic Studies and Surveillance of Disease Problems  76 FR 4458

2 0
   
State, Local, and Tribal Governments
 
   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 2 0 0 0 0 2
Annual IC Time Burden (Hours) 2 0 -30 0 0 32
Annual IC Cost Burden (Dollars) 1,387 0 0 0 0 1,387

Title Document Date Uploaded
Justification for Disease-Specific Data 05/16/2022
PRA Burden Statement (screenshot) 05/16/2022
Attachment 4 Core Data 11/13/2013
Attachment 5 Disease-Specific Data 11/13/2013
09/21/2015
05/22/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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