Zika Virus Disease Enhanced Surveillance – Hospitalization associated with Zika virus disease

Zika Virus Enhanced Surveillance of Selected Populations

OMB: 0920-1192

IC ID: 227535

Information Collection (IC) Details

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Zika Virus Disease Enhanced Surveillance – Hospitalization associated with Zika virus disease
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA Zika Virus Disease Enhanced Surveillance – Hospitalization associated with Zika virus disease Att. 5 - Enhanced surveillance - Hospitalized.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

12 0
   
State, Local, and Tribal Governments
 
   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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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