Information Collection

Att 2_ABCs Invasive Pneumococcal Disease in Children

IC 207648 under ICR 201501-0920-018 · OMB 0920-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:

Documents and Forms

Document Name Document Type
Att 2_ABCs Invasive Pneumococcal Disease in Children Form
Active Bacterial Core Surveillance (ABCs) Invasive Pneum Attachment 02_2015 SPN Expanded CRF_OMB.PDF Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att 2_ABCs Invasive Pneumococcal Disease in Children	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 301 Public Health Service Act

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	Active Bacterial Core Surveillance (ABCs) Invasive Pneumococcal Disease in Children	Attachment 02_2015 SPN Expanded CRF_OMB.PDF		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	220	-190	410
Annual IC Time Burden (Hours)	36	-32	68
Annual IC Cost Burden (Dollars)	0	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.