Information Collection

National Disease Surveillance Program - 1_Dengue Case Investigation

IC 46201 under ICR 200611-0920-008 · OMB 0920-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0009 can be found here:

Documents and Forms

Document Name Document Type
Form none assigned National Disease Surveillance Program - 1_Dengue Case Investigation Form
none assigned Dengue DEN CASE Form Eng 2004.pdf Form
none assigned Dengue-Spanish Dengue Case Investigation Report Spa.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Disease Surveillance Program - 1_Dengue Case Investigation	Agency IC Tracking Number:

Is this a Common Form? No		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	none assigned	Dengue	DEN CASE Form Eng 2004.pdf		Yes	Yes	Printable Only
Form	none assigned	Dengue-Spanish	Dengue Case Investigation Report Spa.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Epidemiologic Studies and Surveillance of Disease Problems	FR Citation: 57 FR 62812

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,010	10,010
Annual IC Time Burden (Hours)	2,503	2,503
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.