Survey and Consent - Zika Reproductive Health and Emergency Response Call-Back Survey (ZRHER), 2018

Zika Reproductive Health and Emergency Response Call-Back Survey, 2018

OMB: 0920-1223

IC ID: 229888

Information Collection (IC) Details

View Information Collection (IC)

Survey and Consent - Zika Reproductive Health and Emergency Response Call-Back Survey (ZRHER), 2018
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Survey and Consent - ZRHER Att 5 ZRHER Survey and Consent_11-3-2017.docx NA No   Paper Only

Disaster Management Disaster Preparedness and Planning

 

9,700 0
   
Individuals or Households
 
   0 %

  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 9,700 0 9,700 0 0 0
Annual IC Time Burden (Hours) 1,617 0 1,617 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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