Information Collection Request
[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response
ICR 202503-0920-023 · OMB 0920-1447 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1447 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 EO14168 CRM MDN.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-20 | Available |
| EO14168 CRM MDN.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-03-20 | Missing upstream |
| SSA_MDN Generic ICR_Updated.docx |
Supporting Statement A | Uploaded 2024-09-13 | Available |
| SSA_MDN Generic ICR_Updated.docx |
Supporting Statement A | Uploaded 2024-09-13 | Repair queued |
 Att 9 - PRA Burden Statement Screenshot.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 9 - PRA Burden Statement Screenshot.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 8 - Research Determination.pdf |
Supplementary Document | Uploaded 2024-09-12 | Available |
| Att 8 - Research Determination.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 7 - DCIPHER PIA.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 7 - DCIPHER PIA.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 6 - Response Specific Data Element Form.docx |
Supplementary Document | Uploaded 2024-09-12 | Available |
| Att 6 - Response Specific Data Element Form.docx |
Supplementary Document | Uploaded 2024-09-12 | Missing upstream |
| Att 5 - MDN for Case Data Form_Updated.docx |
Supplementary Document | Uploaded 2024-09-13 | Repair queued |
| Att 5 - MDN for Case Data Form_Updated.docx |
Supplementary Document | Uploaded 2024-09-13 | Missing upstream |
 Att 4 - List of Non MDN GenV2 Data Elements.xlsx |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 4 - List of Non MDN GenV2 Data Elements.xlsx |
Supplementary Document | Uploaded 2024-09-12 | Missing upstream |
| List of MDN for Case Data 032025.xlsx |
Supplementary Document | Uploaded 2025-03-20 | Available |
| List of MDN for Case Data 032025.xlsx |
Supplementary Document | Uploaded 2025-03-20 | Repair queued |
| Att 2a - 60 day FRN.pdf |
Supplementary Document | Uploaded 2024-09-12 | Available |
| Att 2a - 60 day FRN.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| Att 1 - Authorizing Legislation 42 USC 241.pdf |
Supplementary Document | Uploaded 2024-09-12 | Available |
| Att 1 - Authorizing Legislation 42 USC 241.pdf |
Supplementary Document | Uploaded 2024-09-12 | Repair queued |
| SSB_MDN Generic ICR.docx |
Supporting Statement B | Uploaded 2024-09-12 | Available |
| SSB_MDN Generic ICR.docx |
Supporting Statement B | Uploaded 2024-09-12 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1447 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202409-0920-005 |
| Agency Tracking No | 0920-25-0055 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |