Household Surveillance patients Form 3a Subject Indentification

United States and Global Human Influenza Surveillance in at-Risk Settings (NIAID)

OMB: 0925-0737

IC ID: 218288

Information Collection (IC) Details

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Household Surveillance patients Form 3a Subject Indentification
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 20 Attachment 5 Form 3a Subject Indentification Attachment 5 -Form3a Subject Identification.pdf No   Fillable Fileable

Health Health Care Services

 

500 0
   
Individuals or Households
 
   0 %

  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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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