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Lyme Disease Report
National Disease Surveillance Program
OMB: 0920-0009
IC ID: 46205
OMB.report
HHS/CDC
OMB 0920-0009
ICR 201003-0920-010
IC 46205
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0009 can be found here:
2022-08-26 - Revision of a currently approved collection
2022-07-29 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form none assigned
Lyme Disease Report
Form
none assigned Lyme Disease
Lyme5260.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Lyme Disease Report
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
none assigned
Lyme Disease
Lyme5260.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Epidemiologic Studies and Surveillance of Disease Problems 09-20-0136
FR Citation:
57 FR 62812
Number of Respondents:
52
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
20,020
0
0
0
0
20,020
Annual IC Time Burden (Hours)
3,337
0
0
0
0
3,337
Annual IC Cost Burden (Dollars)
0
0
0
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.