Information Collection

Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment

IC 178365 under ICR 201412-0920-014 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 55.83 Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment Form
CDC 55.83 National Respiratory and Enteric Virus Surveillance Syst Att U_CDC 55.83_NREVSS_LaboratoryAssessment_FORM.docx Form
CDC 55.83A NREVSS Antigen Detection Worksheet Att U1_CDC 55.83A_NREVSS- Antigen Detection Wkst.pdf Form
CDC 55.83D NREVSS Polymerase Chain Reaction (PCR) Worksheet Att U3_CDC 55.83D_ NREVSS - PCR WKsht.pdf Form
CDC 55.83B NREVSS Virus Isolation (culture) Worksheet Att U2_CDC 55.83B_NREVSS- Virus Isolation (culture) Wkst.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att U_National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 55.83	National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratory Assessment	Att U_CDC 55.83_NREVSS_LaboratoryAssessment_FORM.docx	Yes	Yes	Fillable Printable
Form	CDC 55.83A	NREVSS Antigen Detection Worksheet	Att U1_CDC 55.83A_NREVSS- Antigen Detection Wkst.pdf	Yes	Yes	Fillable Printable
Form	CDC 55.83D	NREVSS Polymerase Chain Reaction (PCR) Worksheet	Att U3_CDC 55.83D_ NREVSS - PCR WKsht.pdf	Yes	Yes	Fillable Printable
Form	CDC 55.83B	NREVSS Virus Isolation (culture) Worksheet	Att U2_CDC 55.83B_NREVSS- Virus Isolation (culture) Wkst.pdf	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	15,600	15,600
Annual IC Time Burden (Hours)	3,900	3,900
Annual IC Cost Burden (Dollars)	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.