Viral Hemorrhagic Fever Contact Listing Form (Liberia)

2014 Emergency Response to Ebola in West Africa: Data Collection for Assisting Foreign and International Entities to Conduct Public Health Activities

OMB: 0920-1033

IC ID: 213618

Information Collection (IC) Details

View Information Collection (IC)

Viral Hemorrhagic Fever Contact Listing Form (Liberia) 0920-15CN
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-15CN Attachment K_Viral Hemorrhagic Fever Contact Listing Form_Liberia Attachment K_Viral Hemorrhagic Fever Contact Listing Form_Liberia.pdf Yes No Fillable Printable

Health Illness Prevention

 

12,000 0
   
Individuals or Households
 
   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 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 3,000 0 3,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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