Cholera_Kenya

Emergency Epidemic Investigation Data Collections - Expedited Reviews

OMB: 0920-1011

IC ID: 217021

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Cholera_Kenya 0920-1011-15AQN
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Community Questionnaire Appendix 1 Community Questionnaire - English 6_12_15.doc None No   Paper Only
Form and Instruction None Healthcare Worker Questionnaire Appendix 2 Healthcare worker questionnaire - English.docx None No   Paper Only

Health Illness Prevention

Epidemic Investigations Case Records  51 FR 42466

550 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 550 0 0 0 0 550
Annual IC Time Burden (Hours) 183 0 0 0 0 183
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
LOI Kenya MoH LOI from MoH Kenya 03JUN2015.pdf 06/12/2015
EEI Burden Estimate Cholera_Kenya Burden Estimate_EEI GenIC Cholera_Kenya.docx 06/12/2015
EEI Request - Cholera_Kenya 1 GenIC Request Form - EEI Generic ICR_cholera kenya 2015 6_12_15_revised.docx 06/13/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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