Undetermined risk of exposure for human-to-human spread of rabies to contact of case patient following mongoose-associated human rabies case, Puerto Rico, 2015.

Emergency Epidemic Investigation Data Collections - Expedited Reviews

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Document Name Document Type
Undetermined risk of exposure for human-to-human spread of rabies to contact of case patient following mongoose-associated human rabies case, Puerto Rico, 2015. Form and Instruction
Community Assessment Appendix_1a_Community Assessment.docx Form and Instruction
Community Assessment - Spanish Appendix_1b_Community Assessment_Spanish.docx Form and Instruction
Healthcare Worker Assessment Appendix_2a_Healthcare worker Assessment.docx Form and Instruction
Healthcare Worker Assessment Appendix_2b_Healthcareworker Assessment_Spanish.docx Form and Instruction
Invitation letter rabies PEP 2015.docx Letter of Invitation - Puerto Rico IC Document
2016005-007 Rabies_Puerto Rico.docx GenIC Request - Rabies PR 2015 IC Document
0920-1011 Rabies_PR Burden Estimate.msg Burden Estimate - Email IC Document

Information Collection (IC) Details

IC Title:	Undetermined risk of exposure for human-to-human spread of rabies to contact of case patient following mongoose-associated human rabies case, Puerto Rico, 2015.	Agency IC Tracking Number:	0920-1011-16GM

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Electronic Capability
Form and Instruction	NA	Community Assessment	Appendix_1a_Community Assessment.docx	NA	No	Paper Only
Form and Instruction	NA	Community Assessment - Spanish	Appendix_1b_Community Assessment_Spanish.docx	NA	No	Paper Only
Form and Instruction	NA	Healthcare Worker Assessment	Appendix_2a_Healthcare worker Assessment.docx	NA	No	Paper Only
Form and Instruction	NA	Healthcare Worker Assessment	Appendix_2b_Healthcareworker Assessment_Spanish.docx	NA	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: Epidemic Investigation Case Records 09-20-0113	FR Citation: 51 FR 42466

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation - Puerto Rico	Invitation letter rabies PEP 2015.docx	12/07/2015
GenIC Request - Rabies PR 2015	2016005-007 Rabies_Puerto Rico.docx	12/07/2015
Burden Estimate - Email	0920-1011 Rabies_PR Burden Estimate.msg	12/07/2015

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