EIP or State Health Dept Employee

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

OMB: 0920-1296

IC ID: 241587

Information Collection (IC) Details

View Information Collection (IC)

EIP or State Health Dept Employee 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 EIP or State Health Dept Employee EIP or State Health Department Employee (no form).docx No   Fillable Fileable

Health Public Health Monitoring

 

5 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 120 0 120 0 0 0
Annual IC Time Burden (Hours) 10 0 10 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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