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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1118 can be found here:

Documents and Forms

Document Name Document Type
Telephone Interview of Cases and Controls Form and Instruction
Case-Control Interview - English 13JUL2016 Case-control Interview 7.12.docx Form and Instruction
Case-Control Interview - Spanish 13JUL2016 Case-control Interview 7.12 Spanish.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Telephone Interview of Cases and Controls	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Case-Control Interview - English 13JUL2016	Case-control Interview 7.12.docx	NA	No		Paper Only
Form and Instruction	NA	Case-Control Interview - Spanish 13JUL2016	Case-control Interview 7.12 Spanish.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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