Information Collection

Advanced Review

IC 234893 under ICR 201902-0920-005 · OMB 0920-1092.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1092 can be found here:

Documents and Forms

Document Name Document Type
Att 7b_Advanced Review Topics.docx Other-Discussion Guide

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Advanced Review	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
Other-Discussion Guide			Att 7b_Advanced Review Topics.docx		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 42	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
Annual Number of Responses for this IC	1,092	1,092
Annual IC Time Burden (Hours)	273	273
Annual IC Cost Burden (Dollars)	12,864	12,864

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.