Information Collection

Annual Morbidity Reporting Series

IC 110490 under ICR 197809-0920-005 · OMB 0920-0007.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0007 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	ANNUAL MORBIDITY REPORTING SERIES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 4.210	No	No
Form	CDC 4.212	No	No
Form	CDC 4.214	No	No
Form	CDC 4.211	No	No
Form	CDC 4.213	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	275	275
Annual IC Time Burden (Hours)	1,870	1,870
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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