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

View Information Collection (IC)

[PHIC] Health Data Utilities Assessment - 2026 Survey with Public Health Agencies 0920-26-0203
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-26-0203 Yes Yes Fillable Fileable
Form 0920-26-0203 Yes Yes Fillable Fileable

Health Public Health Monitoring

 

58 0
   
State, Local, and Tribal Governments
 
   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 58 0 58 0 0 0
Annual IC Time Burden (Hours) 19 0 19 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 06/29/2026
Attachment C—Email 1, Initial Outreach to Survey Respondents 06/29/2026
Attachment D—Email 1a, Outreach to Secondary Survey Respondents 06/29/2026
Attachment E—Email 2, Survey Deadline Reminder 06/29/2026
Attachment F—Email 3, Survey Deadline Extension 06/29/2026
Attachment G—Email 4, Survey Extension Final Reminder 06/29/2026
SSB 06/29/2026
Attachment H—HIE Services Reference List 06/29/2026
Determination 06/29/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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