Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly

[NCIRD] National Disease Surveillance Program - II. Disease Summaries

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 55.20 Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly Form
CDC 55.20 US Outpatient Influenza-like Illness Surveillance Networ Attachment G_U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly_CDC 55.20.pdf Form
CDC 55.20 US Outpatient Influenza-like Illness Surveillance Networ Attachment G_U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly_CDC 55.20.pdf Form
Att H_US Outpatient ILI Surv Network (ILINet) Workfolder; CDC 55 20E.pdf Att H US Outpatient Influenza-like Illness Surveillance Network (ILINet) Work Folder IC Document
Att H_US Outpatient ILI Surv Network (ILINet) Workfolder; CDC 55 20E.pdf Att H US Outpatient Influenza-like Illness Surveillance Network (ILINet) Work Folder IC Document

Information Collection (IC) Details

IC Title:	Att G US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly	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	CDC 55.20	US Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly	Attachment G_U.S. Outpatient Influenza-like Illness Surveillance Network (ILINet) Weekly_CDC 55.20.pdf	NA	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 87 %

	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-93,600	93,600
Annual IC Time Burden (Hours)	-15,600	15,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att H US Outpatient Influenza-like Illness Surveillance Network (ILINet) Work Folder	Att H_US Outpatient ILI Surv Network (ILINet) Workfolder; CDC 55 20E.pdf	07/25/2014

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