Document
Appendix 4 - Example of Personal Interview Questionnaire
ICR 201710-0920-007 · OMB 0920-1011 · Object 77608401.
This document may belong to an older filing. More recent activity for OMB 0920-1011:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-04-22 05:08:16)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Appendix 4 - Example of Personal Interview Questionnaire |
| Author | CDC User |
| File Created | 2021-01-21 |
| Conversion State | partial |