Forms and Documents

Document Name	Status
Att 14 - NNDSS Research Determination.pdf Supplementary Document	2025-04-09
Att 13 - MVPS PIA.pdf Supplementary Document	2025-04-09
Att 15 - Burden Table Calculations.xlsx Supplementary Document	2025-04-09
Att 12 - CBS Capabilities and Technology Recommendations.pdf Supplementary Document	2025-04-09
Att 10 - Justification for Disease-specific Data.docx Supplementary Document	2025-04-09
Att 5 - List of CSS.xlsx Supplementary Document	2025-04-09
Att 4 - List of NNCs.xlsx Supplementary Document	2025-04-09
Att 3 - Requests to Align with EO 14168.docx Supplementary Document	2025-04-09
Att 2a - 60 day FRN.pdf Supplementary Document	2025-04-09
0920-0728_NNDSS_Supporting_Statement_B.docx Supporting Statement B	2025-04-09
0920-0728_NNDSS_Supporting_Statement_A.docx Supporting Statement A	2025-04-09
Att 15 - PRA Burden Statement Screenshot.pdf Supplementary Document	2024-02-01
Att 14 - Burden Table Calculations.xlsx Supplementary Document	2024-02-01
Att 13 - NNDSS Research Determination.pdf Supplementary Document	2024-02-01
Att 12 - MVPS PIA.pdf Supplementary Document	2024-02-01
Att 11 - CBS Capabilities and Technology Recommendations.pdf Supplementary Document	2024-02-01
Att 9 - Justification for Disease-specific Data_012262024.pdf Supplementary Document	2024-02-01
Att 4 - List of CSS_01222024.xlsx Supplementary Document	2024-02-01
Att 3 - List of NNCs_01222024.xlsx Supplementary Document	2024-02-01
Att 1 - Authorizing Legislation 42 USC 241.pdf Supplementary Document	2024-02-01

IC Document Collections

IC ID	Document Title	Status
235861	Freely Associated States - One-time Addition of Diseases and Data Elements Instruction	Modified
235860	Freely Associated States - Weekly (automated) Other-Data elements	Modified
228451	Cities - One time Addition of Diseases and Data Elements Instruction	Modified
228450	Cities - Annual Other-Data elements	Modified
228449	Cities - Weekly - DMI Implementation Other-Data elements	Modified
228448	Cities - Weekly - non-automated Other-Data elements	Modified
228447	Freely Associated States - Annual Other-Data elements	Modified
228446	Freely Associated States - Weekly, quarterly - non-automated Other-Data elements	Modified
228445	Territories - One time addition of diseases and data elements Instruction	Modified
228444	Territories - Annual Other-Data elements	Modified
228443	Territories - Weekly, DMI Implementation Other-Data elements	Modified
228442	Territories - Weekly, quarterly - non-automated Other-Data elements	Modified
228441	States - One time addition of diseases and data elements Instruction	Modified
228440	States - Annual Other-Data elements	Modified
228439	States - Weekly DMI Implementation Other-Data elements	Modified
228438	States - Weekly non-automated Other-Data elements	Modified
209484	Cities - Weekly - automated Other-Data elements	Modified
209483	Territories - Weekly automated Other-Data elements	Modified
209482	States - Weekly automated Other-Data elements	Modified

ICR Details

OMB Control No:	ICR Reference No:
Status:	Previous ICR Reference No:
Agency/Subagency:	Agency Tracking No:
Title:
Type of Information Collection:	Common Form ICR:
Type of Review Request:	Date Received in OIRA:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR?

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	Total	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion:

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion:

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.    

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.    

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?

Is this ICR related to the Pandemic Response?

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Common Form ICR: 

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date:

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