OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

2014014-XXX Ebola_Sierra Leone

IC 212395 under ICR 201410-0920-003 · OMB 0920-1011.

Documents and Forms
Document Name
Document Type
Other-PDF
Other-PDF
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

2014014-XXX Ebola_Sierra Leone 0920-14AQD
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-PDF Appendix 1--CASE REPORT FORM.pdf No   Fillable Printable
Other-PDF Appendix 2--CONTACT LISTING FORM.pdf No   Fillable Printable

Health Public Health Monitoring

 

3,200 0
   
Private Sector Not-for-profit institutions
 
   0 %

  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 3,200 0 0 0 0 3,200
Annual IC Time Burden (Hours) 454 0 0 0 0 454
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Checklist 2014014-XXX_Ebola_Sierra Leone 2014014-XXX_Ebola_Sierra Leone.docx 07/21/2014
Invitational Letter (SierraLeone.Manning) InvitationFromSierraLeone.MANNING.jpg 07/21/2014
E-mail Request 0920-1011 GenIC Request Ebola_Sierra Leone.msg 07/21/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.