EPI-AID Satisfaction Survey for Requesting Official

Emergency Epidemic Investigations

Documents and Forms

Document Name Document Type
Attach E_Statis Survey_Emer Epi Invest_OMB 0920-0008.pdf Other-WORD

Information Collection (IC) Details

IC Title:	EPI-AID Satisfaction Survey for Requesting Official	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
Other-WORD			Attach E_Statis Survey_Emer Epi Invest_OMB 0920-0008.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemic Investigations Case Records	FR Citation: 51 FR 42466

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	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.