Undetermined risk factors associated with increase in bites from rabid dogs, resulting in at least one human death, Gonaives, Haiti, 2015

Emergency Epidemic Investigation Data Collections - Expedited Reviews

OMB: 0920-1011

IC ID: 218802

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

View Information Collection (IC)

Undetermined risk factors associated with increase in bites from rabid dogs, resulting in at least one human death, Gonaives, Haiti, 2015 0920-1011
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Medical Providers Interview Survey - French Appendix 2b - Medical Providers Interview Survey - French edits-.doc NA No   Paper Only
Form and Instruction NA Rabies Official Interview Survey - English Appendix 3a - Rabies Official Interview Survey - English edits.doc NA No   Paper Only
Form and Instruction NA Rabies Official Interview Survey - French Appendix 3b - Rabies Official Interview Survey - French -.doc NA No   Paper Only
Form and Instruction NA Public Health Official Interview Survey - English Appendix 4a - Public Health Official Interview Survey - English.doc NA No   Paper Only
Form and Instruction NA Public Health Official Interview Survey - French Appendix 4b - Public Health Official Interview Survey - French - edit.doc NA No   Paper Only
Form and Instruction NA Community Suyrvey - English Appendix 1a - Community Survey - English.doc NA No   Paper Only
Form and Instruction NA Community Survey - French Appendix 1b - Community Survey - French.doc NA No   Paper Only
Form and Instruction NA Medical Providers Interview Survey - English Appendix 2a - Medical Providers Interview Survey - English edit .doc NA No   Paper Only

Health Illness Prevention

09-20-0113 Epidemic Investigation Case Records Systems Notice  51 FR 42466

180 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 180 0 0 0 0 180
Annual IC Time Burden (Hours) 55 0 0 0 0 55
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter of Invitation LOI_Haiti.pdf 11/01/2015
GenIC Request Rabies_Haiti 2016XXX-XXX Rabies_Haiti.docx 11/01/2015
Burden Hour Request - email 0920-1011 GenIC Request 2016002-XXX Rabies_Haiti.msg 11/01/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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