OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Chikungunya_USVI

IC 211894 under ICR 201504-0920-005 · OMB 0920-1011.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
INVITE Chikungunya in USVI_EpiAid letter of invitation (2014-06-10).pdf Other-WORD
0920-1011 GenIC Request Chikungunya_USVI.msg Other-E-mail
2014007-XXX Chikungunya_USVI.docx Other-WORD
CDC 56.31 A REV. 0 Dengue Case Investigation Report
Appendix 1. Dengue Chikungunya Case Investigation Form.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD INVITE Chikungunya in USVI_EpiAid letter of invitation (2014-06-10).pdf No   Paper Only
Form and Instruction CDC 56.31 A REV. 06/2006 Dengue Case Investigation Report Appendix 1. Dengue Chikungunya Case Investigation Form.pdf No   Fillable Fileable Signable
Other-E-mail 0920-1011 GenIC Request Chikungunya_USVI.msg No   Printable Only
Other-WORD 2014007-XXX Chikungunya_USVI.docx No   Printable Only

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 5 0 0 0 0 5
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.