Varicella Investigation Outcome Reporting Form

Contact Investigation Outcome Reporting Forms

OMB: 0920-0900

IC ID: 231142

Information Collection (IC) Details

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Varicella Investigation Outcome Reporting Form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Varicella Investigation Outcome Reporting Form Attachment E Varicella Outbreak Cruise Ship EDC Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Quarantine- and Traveler-Related Activities, Including Records for Contact Tracing Investigations  72 FR 7086

29 0
   
Private Sector Businesses or other for-profits
 
   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 29 0 0 0 0 29
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 361 0 0 0 0 361

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