Undetermined sources and risk factors for a Rift Valley Fever Outbreak-Uganda, 2016

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⚠️ Notice: This information collection may be referencing outdated material.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 sources and risk factors for a Rift Valley Fever Outbreak-Uganda, 2016 Form and Instruction
Risk Factor Questionnaire Appendix 1. Risk Factor Questionnaire_FINAL.docx Form and Instruction
Livestock Assessment Form Appendix 2. Livestock Assessment Form_FINAL.docx Form and Instruction
LOI.pdf Letter of Invitation - MoH Uganda IC Document
Burden Memo Email - RVFV Uganda.msg Burden Memo Email - RVFV Uganda, 2016 IC Document
2016013-XXX Rift Valley Fever_Uganda.docx 0920-1011 EEI Request - RVFV Uganda, 2016 IC Document

Information Collection (IC) Details

IC Title:	Undetermined sources and risk factors for a Rift Valley Fever Outbreak-Uganda, 2016	Agency IC Tracking Number:	16YC

IC Status: New

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
Form and Instruction	NA	Risk Factor Questionnaire	Appendix 1. Risk Factor Questionnaire_FINAL.docx	NA	No		Paper Only
Form and Instruction	NA	Livestock Assessment Form	Appendix 2. Livestock Assessment Form_FINAL.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

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

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	375	375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation - MoH Uganda	LOI.pdf	03/24/2016
Burden Memo Email - RVFV Uganda, 2016	Burden Memo Email - RVFV Uganda.msg	03/24/2016
0920-1011 EEI Request - RVFV Uganda, 2016	2016013-XXX Rift Valley Fever_Uganda.docx	03/24/2016

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