2014015-XXX_Parechovirus_Multi

Emergency Epidemic Investigation Data Collections - Expedited Reviews

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Document Name Document Type
2014015-XXX_Parechovirus_Multi Form
Chart Abstraction Appendix 1 Chart abstraction.docx Form
Family interview Appendix 2 Family interview questionnaire.docx Form
FW Epi-Aid request re potential cluster of HPeV3 infections in Kansas and Missouri.msg Letter of Invitation IC Document
2014015-XXX Parechovirus_Multi.docx Checklist for 0920-1011 IC Document
0920-1011 GenIC Request Parechovirus_Mulit.msg Email from Program IC Document

Information Collection (IC) Details

IC Title:	2014015-XXX_Parechovirus_Multi	Agency IC Tracking Number:	14AUO

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	none	Chart Abstraction	Appendix 1 Chart abstraction.docx		No		Paper Only
Form	none	Family interview	Appendix 2 Family interview questionnaire.docx		No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation	FW Epi-Aid request re potential cluster of HPeV3 infections in Kansas and Missouri.msg	08/12/2014
Checklist for 0920-1011	2014015-XXX Parechovirus_Multi.docx	08/12/2014
Email from Program	0920-1011 GenIC Request Parechovirus_Mulit.msg	08/12/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.