Telephone Interview of Cases and Controls

Zika Emergency Package V: Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections

OMB: 0920-1118

IC ID: 222028

Information Collection (IC) Details

View Information Collection (IC)

Telephone Interview of Cases and Controls
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Case Control Telephone Interview - English Attachment E Case-control Interview June 16.with header and footer.docx NA No   Paper Only
Form and Instruction NA Case Control Telephone Interview - Spanish Attachment E Case-control Interview June 16 Spanish with header and footer.docx NA No   Paper Only

Health Illness Prevention

 

200 0
   
Individuals or Households
 
   0 %

  Approved 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 67 0 67 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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