View Information Collection (IC)

View Information Collection (IC)

IC Title:	COVID-19 CONTACT TRACING REPORTING FORM	Agency IC Tracking Number:

Is this a Common Form? No		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 and Instruction	DHS Form XXX (10/20)	COVID-19 CONTACT TRACING REPORTING FORM	DHS Form XXX_1670-NEW_COVID-19 Contact Tracing Reporting Form_3_FORM-v1.pdf		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: PIA-069 DHS Surveys, Interviews, and Focus Groups	FR Citation: 73 FR 71659

Number of Respondents: 166	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	166	0	166	0	0	0
Annual IC Time Burden (Hours)	111	0	111	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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