Information Collection

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

IC 220762 under ICR 201608-0920-012 · OMB 0920-1011.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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

Agency IC Tracking Number:

16YC

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	Requested	Previously Approved
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

table that charts IC Documents
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.