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SDY Module - Forensic Pathologists
Sudden Death in the Young Registry
OMB: 0920-1092
IC ID: 217626
OMB.report
HHS/CDC
OMB 0920-1092
ICR 201902-0920-005
IC 217626
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1092 can be found here:
2022-03-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
SDY Module - Forensic Pathologists
Form
NCRPCD Case Reporting System - SDY Module
Attachment 3_NCRPCD Case Reporting System - SDY Module SDY 0920-15CT.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SDY Module - Forensic Pathologists
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
NA
NCRPCD Case Reporting System - SDY Module
Attachment 3_NCRPCD Case Reporting System - SDY Module SDY 0920-15CT.pdf
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
9
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
0
0
-2,700
0
0
2,700
Annual IC Time Burden (Hours)
0
0
-225
0
0
225
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.