Investigation of SARS-CoV-2 transmission in a jail - Louisiana, 2020

Emergency Epidemic Investigation Data Collections - Expedited Reviews (Y3Q4)

OMB: 0920-1011

IC ID: 241734

Information Collection (IC) Details

View Information Collection (IC)

Investigation of SARS-CoV-2 transmission in a jail - Louisiana, 2020 0920-1011-20OF
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1011 Facility Assessment Appendix 1. Facility Survey.docx NA No   Paper Only
Form and Instruction 0920-1011 Survey - Day 0 Appendix 2. Survey Day 0.docx NA No   Paper Only
Form and Instruction 0920-1011 Survey - Day 3-4 Appendix 3. Survey Day 3.docx NA No   Paper Only
Form and Instruction 0920-1011 Survey - Day 14 Appendix 4. Survey Day 14.docx NA No   Paper Only
Form and Instruction 0920-1011 Respiratory Testing Form Appendix 5. Lab requisition form cover page.docx NA No   Paper Only
Form and Instruction 0920-1011 COVID-19 Test Request Form Appendix 5. COVID-19 Test Request Form.pdf NA No   Paper Only

Disaster Management Emergency Response

Epidemic Investigation Case Records - SORN number 09-20-0113  51 FR 42466

910 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 910 0 910 0 0 0
Annual IC Time Burden (Hours) 356 0 356 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0920-1011 GenIC Request 2020004-XXX COVID-19 Jail_LA.docx 05/07/2020
Letter of Invitation Letter of Invitation.pdf 05/07/2020
Burden Request Memo URGENT 0920-1011 GenIC Request 2020004-XXX COVID-19 Jail_LA.msg 05/08/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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