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

View Information Collection (IC)

Component 1 - STLT Health Depts 0920-26-0113
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Template Yes Yes Fillable Fileable
Other-Template Yes Yes Fillable Fileable
Other-Template Yes Yes Fillable Fileable
Other-Template Yes Yes Fillable Fileable

Health Public Health Monitoring

 

64 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 133,120 0 18,720 0 0 114,400
Annual IC Time Burden (Hours) 308,395 0 193,995 0 0 114,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NWSS Data Dictionary 09/28/2026
NCBI DCIPHER Crosswalk Data Dictionary 09/28/2026
NWSS DCIPHER Bulk Upload Tool Screenshot 09/28/2026
OMB Control Header and Burden Statement 09/28/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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