Intercept Interview with Pregnant Women - USVI

Assessment of Zika Prevention Strategies in the U.S. Virgin Islands

OMB: 0920-1147

IC ID: 224375

Information Collection (IC) Details

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Intercept Interview with Pregnant Women - USVI
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Intercept Interview with Pregnant Women - USVI Attachment C.Interview with Pregnant Women in USVI.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0136, “Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

300 0
   
Individuals or Households
 
   100 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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