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

View Information Collection (IC)

Covid-19 Impact Survey 0920-21CS
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-21CS Yes Yes Fillable Fileable

Health Public Health Monitoring

09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems  81 FR 9200

1,330 0
   
Individuals or Households
 
   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 1,330 0 0 0 0 1,330
Annual IC Time Burden (Hours) 554 0 0 0 0 554
Annual IC Cost Burden (Dollars) 14,252 0 0 0 0 14,252

Title Document Date Uploaded
Change Request Memo 12/08/2020
Expedited Review Request 12/08/2020
Change Request 02/18/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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