Information Collection

MosquitoNET Survey - Entry of Monthly Surveillance Records of Aedes aegypti and Aedes albopictus

IC 227368 under ICR 201809-0920-003 · OMB 0920-1146.

Documents and Forms

Document Name Document Type
MosquitoNET Survey - Entry of Monthly Surveillance Records of Aedes aegypti and Aedes albopictus Form and Instruction
MosquitoNET Att. C - MosquitoNet Surveillance Survey.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MosquitoNET Survey - Entry of Monthly Surveillance Records of Aedes aegypti and Aedes albopictus	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	NA	MosquitoNET	Att. C - MosquitoNet Surveillance Survey.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 94	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,128	360	768
Annual IC Time Burden (Hours)	282	90	192
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.