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

View Information Collection (IC)

National ART Surveillance System
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form C1b_v2 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 C1b_v3 National ART Surveillance System NASS 2.) (Proposed for 2016) Att. C1b_v3 (Proposed) Future NASS screens for 2017.docx Yes Yes Fillable Printable
Form and Instruction C1b_v3 Att C1b_v3 NASS screens Att C1b_v3 NASS screens.docx Yes Yes Fillable Fileable
Form and Instruction C1b_v4 Att C1b_v4 NASS screens_04_17_2017_clean Att C1b_v4 NASS screens_04_17_2017_clean.docx Yes Yes Fillable Fileable

Health Health Care Services

09-20-0136, Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

447 0
   
Private Sector Businesses or other for-profits
 
   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) 111,769 0 1,315 0 0 110,454
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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 C1b_v4 NASS screens_04_17_2017_changes highlighted Att C1b_v4 NASS screens_04_17_2017_changes highlighted.docx 05/16/2017
OMB 0920-0556_change request 05.4.17 OMB 0920-0556_change request 05.4.17.docx 05/16/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.