Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2

Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel

OMB: 0920-1296

IC ID: 241429

Information Collection (IC) Details

View Information Collection (IC)

Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 0920-20MZ
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20MZ Assessment of Healthcare Personnel Attachment4_Assessment of healthcare personnel.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

4,000 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 4,000 0 4,000 0 0 0
Annual IC Time Burden (Hours) 2,000 0 2,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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