View Information Collection (IC)

View Information Collection (IC)

IC Title:	Public Agencies Retrieve and Refile Records	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	none	NVDRS screenshots	Att 6_NVDRS Web-Based Data Entry Screenshots_0607.pdf		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: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	68,488	0	10,488	0	0	58,000
Annual IC Time Burden (Hours)	34,244	0	5,244	0	0	29,000
Annual IC Cost Burden (Dollars)	613,652	0	613,652	0	0	0

Documents for IC

Title	Document	Date Uploaded
NVDRS Web Coding Manual	Att 7_ NVDRS Web Coding Manual_v5.2_0607.pdf	08/10/2017
NVDRS Data Elements	Att 8 _NVDRS Data Elements (NVDRS Variables)_0607.pdf	08/10/2017

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