Biosense Submission Processes Assessment

Surveys of State, Tribal, Local and Territorial (STLT) Governmental Health Agencies

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Document Name Document Type
Attachment K_Instrument_Cost_12 19 13.docx Instruction
Attachment J_Instrument_Onboarding 12 19 13.docx Other-Interview
Attachment A_Bioterrorism_Act_2002.pdf Bioterrorism Act IC Document
Attachment B_PAHPA.pdf PAHPA IC Document
Attachment C_PAHPA_Reauthorization.pdf PAHPA Reauthorization IC Document
Attachment D_WH_Cloud_Strategy.pdf WH Cloud Strategy IC Document
Attachment E_DUA_Map.pptx DUA Map IC Document
Attachment F_DUA_Template.doc DUA Template IC Document
Attachment G_GAO_Info_Tech.pdf GAO Info Tech IC Document
Attachment H_GAO_Health_Info_Tech.pdf GAO Health Info Tech IC Document
Attachment I_BioSense_Infrastructure_Diagrams.docx Biosense Infrastructure IC Document
Attachment L_Email_Onboarding docx.docx Email Onboarding IC Document
Attachment M_Email_Cost.docx Email Cost IC Document
Attachment N_Email_Cost_Onboarding docx.docx Email Cost Onboarding IC Document
Attachment O_Email_Reminder.docx Email Reminder IC Document
BioSense Supporting_Statement_B_ICRO Comments_DHIS Response_11 06 13.docx Supporting Statement Part B IC Document
BioSense Supporting_Statement_A_ICRO Comments_DHIS Response_11 06 13 (2).docx Supporting Statement Part A IC Document

Information Collection (IC) Details

IC Title:	Biosense Submission Processes Assessment	Agency IC Tracking Number:

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
Instruction			Attachment K_Instrument_Cost_12 19 13.docx		Yes	No	Printable Only
Other-Interview			Attachment J_Instrument_Onboarding 12 19 13.docx		Yes	No	Printable Only

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	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	56	0	0	0	0	0
Annual IC Time Burden (Hours)	85	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Bioterrorism Act	Attachment A_Bioterrorism_Act_2002.pdf	01/02/2014
PAHPA	Attachment B_PAHPA.pdf	01/02/2014
PAHPA Reauthorization	Attachment C_PAHPA_Reauthorization.pdf	01/02/2014
WH Cloud Strategy	Attachment D_WH_Cloud_Strategy.pdf	01/02/2014
DUA Map	Attachment E_DUA_Map.pptx	01/02/2014
DUA Template	Attachment F_DUA_Template.doc	01/02/2014
GAO Info Tech	Attachment G_GAO_Info_Tech.pdf	01/02/2014
GAO Health Info Tech	Attachment H_GAO_Health_Info_Tech.pdf	01/02/2014
Biosense Infrastructure	Attachment I_BioSense_Infrastructure_Diagrams.docx	01/02/2014
Email Onboarding	Attachment L_Email_Onboarding docx.docx	01/02/2014
Email Cost	Attachment M_Email_Cost.docx	01/02/2014
Email Cost Onboarding	Attachment N_Email_Cost_Onboarding docx.docx	01/02/2014
Email Reminder	Attachment O_Email_Reminder.docx	01/02/2014
Supporting Statement Part B	BioSense Supporting_Statement_B_ICRO Comments_DHIS Response_11 06 13.docx	01/02/2014
Supporting Statement Part A	BioSense Supporting_Statement_A_ICRO Comments_DHIS Response_11 06 13 (2).docx	01/02/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.