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Ebola Sexual Transmission Investigation Form - English
Surveillance Data Collections for Ebola Virus Disease in West Africa
OMB: 0920-1085
IC ID: 217276
OMB.report
HHS/CDC
OMB 0920-1085
ICR 201505-0920-008
IC 217276
( )
Documents and Forms
Document Name
Document Type
Ebola Sexual Transmission Investigation Form - English
Form and Instruction
Ebola Sexual Transmission Investigation Form - English
Att21 SexualTransmssnAdltCase ENG.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Ebola Sexual Transmission Investigation Form - English
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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 and Instruction
None
Ebola Sexual Transmission Investigation Form - English
Att21 SexualTransmssnAdltCase ENG.docx
None
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,439
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,439
0
3,439
0
0
0
Annual IC Time Burden (Hours)
1,720
0
1,720
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.