Reemergence of New World Screwworm (NWS)

[OPHDST] Generic Clearance for the Collection of Minimal Data Necessary for Case Data During an Emergency Response

Documents and Forms

Document Name Document Type
Form 0920-1447 Reemergence of New World Screwworm (NWS) Form and Instruction
0920-1447 NEW WORLD SCREWWORM (NWS) CASE REPORT NWS_CRF_2025-draft_v3_06Aug2025.docx Form and Instruction
Case Notification MDN Form_NWS_6Aug2025.docx 0920-1447 - GenIC Request Template Case Notification_New World Screwworm_NWS_06AUG2025 IC Document

Information Collection (IC) Details

IC Title:	Reemergence of New World Screwworm (NWS)	Agency IC Tracking Number:	0920-25-0155

IC Status: New

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 and Instruction	0920-1447	NEW WORLD SCREWWORM (NWS) CASE REPORT	NWS_CRF_2025-draft_v3_06Aug2025.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	21,900	21,900
Annual IC Time Burden (Hours)	10,950	10,950
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0920-1447 - GenIC Request Template Case Notification_New World Screwworm_NWS_06AUG2025	Case Notification MDN Form_NWS_6Aug2025.docx	08/06/2025

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