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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
National ART Surveillance System
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
none
National ART Surveillance System
Att C1a. (Current thru 2015) NASS Screens.pdf
Yes
Yes
Fillable Fileable
Form
0920-0556 (15BGk)
Att C1b v2 (Proposed) Future NASS screens for 2016
Att C1b v2 (Proposed) Future NASS screens for 2016_09 04 2015.docx
Yes
Yes
Fillable Fileable
Form
0920-0556
National ART Surveillance System NASS 2.) (Proposed for 2016)
Att. C1b_v3 (Proposed) Future NASS screens for 2017.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
447
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
157,791
0
0
0
0
157,791
Annual IC Time Burden (Hours)
110,454
0
0
0
0
110,454
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NASS Instructions
Att C2. (Current) NASS Annual Submission Instructions.doc
02/12/2015
NASS User manual
Att C3. (Current) NASS Users Manual.pdf
02/12/2015
Att C6. Detailed List of NASS Changes_07 08 2015
Att C6. Detailed List of NASS Changes_07 08 2015.docx
10/07/2015
0920-0556 Change Request Justification_09-16-2015
0920-0556 Change Request Justification_09-16-2015.docx
10/07/2015
Change Request Justification
0920-0556 Change Request Justification_08-01-2016.docx
08/11/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.