EVD Case Investigation Form - United States

Ebola Virus Disease in the United States:CDC Support for Case and Contact Investigation

OMB: 0920-1045

IC ID: 214740

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

EVD Case Investigation Form - United States
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None EVD Case Investigation Form - United States Att1 EVD Case Investigation Form 20150123.docx None Yes Yes Fillable Fileable

Disaster Management Emergency Response

09-20-0113 Epidemic Investigation Case Record System  51 FR 42466

8 0
   
Individuals or Households
 
   20 %

  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 8 0 8 0 0 0
Annual IC Time Burden (Hours) 4 0 4 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.

© 2024 OMB.report | Privacy Policy