CDC-provided CSV file or HL7 messages (retrospective data entry)

COVID-19 Pandemic Response, Laboratory Data Reporting

Documents and Forms

Document Name Document Type
Form 0920-20OS CDC-provided CSV file or HL7 messages (retrospective data entry) Form and Instruction
0920-20OS CSV Format Guide 5. CDC-provided CSV file or HL7 messages (retrospective data entry).docx Form and Instruction

Information Collection (IC) Details

IC Title:	CDC-provided CSV file or HL7 messages (retrospective data entry)	Agency IC Tracking Number:	0920-20OS

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-20OS	CSV Format Guide	5. CDC-provided CSV file or HL7 messages (retrospective data entry).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	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 Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	216	216
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.