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Youth Biometric Measures
Targeted Surveillance and Biometric Studies for Enhanced Evaluation of CTGs
OMB: 0920-0977
IC ID: 203634
OMB.report
HHS/CDC
OMB 0920-0977
ICR 201305-0920-002
IC 203634
( )
Documents and Forms
Document Name
Document Type
Youth Biometric Measures
Form
Youth Biometric Measures
Att 12B_YouthBioMeasures.doc
Form
Youth Biometric Measures - Spanish
Att 12B-S_YouthBioMeasures_SP.doc
Form
Att 12C_AdultBioMeasures_ItemSources_2013_0618.pdf
Att 12C_AdultBioMeasures_ItemSources_2013_0618
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Youth Biometric Measures
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
Youth Biometric Measures
Att 12B_YouthBioMeasures.doc
Yes
Yes
Fillable Fileable
Form
none
Youth Biometric Measures - Spanish
Att 12B-S_YouthBioMeasures_SP.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
1,600
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
1,600
0
1,600
0
0
0
Annual IC Time Burden (Hours)
533
0
533
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att 12C_AdultBioMeasures_ItemSources_2013_0618
Att 12C_AdultBioMeasures_ItemSources_2013_0618.pdf
08/06/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.