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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania
Agency IC Tracking Number:
0920-1150 18IM
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
0920-1150
Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania (PA)
Att. 1 - PCO Survey (PA version).docx
NA
Yes
Yes
Fillable Fileable
Form and Instruction
0920-1150
Nature and Availability of Commercial Tick Control Services Survey for New York and Pennsylvania (NY)
Att. 1 - PCO Survey NY version).docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0136 Epedemiologic Studie and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
1,700
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
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
1,700
0
1,700
0
0
0
Annual IC Time Burden (Hours)
284
0
284
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Supporting Statement A
Supporting Statement A_GenIC.PCOSurvey.PAandNY2017_Clean.docx
12/19/2017
Supporting Statement B
Supporting Statement B_GenIC.PCOSurvey.PAandNY2017 - Clean.docx
12/19/2017
REQUEST for Project Determination & Approval
Att. 2 - IRB.PDF
12/19/2017
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.