CDI Screening Form

Emerging Infections Program

OMB: 0920-0978

IC ID: 217338

Documents and Forms
Information Collection (IC) Details

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CDI Screening Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Screen Attachment_26_ Screening Questions for CDITelephone Interview_OMB0920-09....pdf NA Yes No Fillable Printable

Health Consumer Health and Safety

 

600 0
   
Individuals or Households
 
   100 %

  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 600 0 600 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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