OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Management of Fever in Travelers from Ebola Affected and Ebola Non-affected Malaria Endemic Countries

IC 215587 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms
Document Name
Document Type
Form
Form
Form
IC Document
IC Document
IC Document
Information Collection (IC) Details

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Management of Fever in Travelers from Ebola Affected and Ebola Non-affected Malaria Endemic Countries 15SY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Assessment for Health Depts Attachment A_Ebola_Malaria_Assessment_Health Department.docx No   Paper Only
Form none Assessment for Health Facilities Attachment B_Ebola_Malaria_Assessment_Health Facility.docx No   Paper Only

Health Public Health Monitoring

 

264 0
   
State, Local, and Tribal Governments
 
   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 264 0 264 0 0 0
Annual IC Time Burden (Hours) 61 0 61 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 0920 1026_ Malaria_Ebola_GenIC_final.docx 03/06/2015
Telephone Script Attachment C_PhoneScripts.docx 03/06/2015
Population Diagram Attachment D_Population Diagram.docx 03/06/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.