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Chikungunya_USVI
Emergency Epidemic Investigation Data Collections - Expedited Reviews
OMB: 0920-1011
IC ID: 211894
OMB.report
HHS/CDC
OMB 0920-1011
ICR 201601-0920-017
IC 211894
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:
2022-10-07 - Revision of a currently approved collection
2022-01-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document 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)
IC Title:
Chikungunya_USVI
Agency IC Tracking Number:
IC Status:
Unchanged
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
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
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
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
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.