OMB
.report
Search
Aim 2: Health Questionnaire
Experimental and Theoretical Study of Early Detection and Isolation of Influenza
OMB: 0920-0777
IC ID: 183376
OMB.report
HHS/CDC
OMB 0920-0777
ICR 200801-0920-007
IC 183376
( )
Documents and Forms
Document Name
Document Type
Form No Number
Aim 2: Health Questionnaire
Form
No Number Attachment 7- Aim 2 Health Questionnaire
Lindsley influenza OMB Attach 7 Aim 2 Health questionnaire.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Aim 2: Health Questionnaire
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
No Number
Attachment 7- Aim 2 Health Questionnaire
Lindsley influenza OMB Attach 7 Aim 2 Health questionnaire.doc
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
Occupational Health Epidemiological Studies
FR Citation:
51 FR 42449
Number of Respondents:
32
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
32
0
32
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.
