Information Collection

42 Cfr 2.51

IC 181480 under ICR 201608-0930-006 · OMB 0930-0092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0092 can be found here:

Documents and Forms

Document Name Document Type
No instruments.doc Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	42 CFR 2.51	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			No instruments.doc		No	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,770	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	Previously Approved
Annual Number of Responses for this IC	23,540	92	23,448
Annual IC Time Burden (Hours)	3,931	15	3,916
Annual IC Cost Burden (Dollars)	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.