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[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey
[OADC] CDC Usability and Digital Content Testing
OMB: 0920-1050
IC ID: 274012
OMB.report
HHS/CDC
OMB 0920-1050
ICR 202505-0920-006
IC 274012
( )
Documents and Forms
Document Name
Document Type
Form 0920-1050
[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey
Form and Instruction
0920-1050 National Syndromic Surveillance Program (NSSP) Community
NSSP CoP Survey 2.21.25.docx
Form and Instruction
0920-1050 GenIC Template NSSP CoP Survey.docx
0920-1050 GenIC Request Template
IC Document
0920-1050 SSA NSSP CoP Survey.docx
0920-1050 GenIC SSA-Summary
IC Document
0920-1050 SSA NSSP CoP Survey.docx
0920-1050 GenIC SSA-Summary
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
[OPHDST] National Syndromic Surveillance (NSSP) Community of Practice (CoP) Survey
Agency IC Tracking Number:
0920-1050-25-0012
IC Status:
Unchanged
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
0920-1050
National Syndromic Surveillance Program (NSSP) Community of Practice (CoP) Survey
NSSP CoP Survey 2.21.25.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,400
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,400
0
0
0
0
1,400
Annual IC Time Burden (Hours)
350
0
0
0
0
350
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
0920-1050 GenIC Request Template
0920-1050 GenIC Template NSSP CoP Survey.docx
02/11/2025
0920-1050 GenIC SSA-Summary
0920-1050 SSA NSSP CoP Survey.docx
02/11/2025
0920-1050 GenIC SSA-Summary
0920-1050 SSA NSSP CoP Survey.docx
02/11/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.