View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[OPHDST] eICR Data Project	Agency IC Tracking Number:	0920-25BW

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	0920-25BW	CDC eICR Data Project - Discussion Guide	CDC eICR Data Project - Discussion Guide.docx		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: 15	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 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	15	0	15	0	0	0
Annual IC Time Burden (Hours)	15	0	15	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request	0920-1050 eICR data project.docx	12/16/2024
CDC eICR Data Project - Participant Recruiting	CDC eICR Data Project - Participant Recruiting.docx	12/16/2024
SSA	SSA New Requirements- eICR data project.docx	12/16/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.