Information Collection Request

Investigation of SARS-CoV-2 Seroprevalence and Factors Associated with Seropositivity in a Community Setting

ICR 202004-0920-015 · OMB 0920-1293 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Household Questionnaire Form New Available
Individual Questionnaire Form New Available
Emergency Review Request Memo_Seroprevalence Investigation_signed.pdf Supplementary Document Uploaded 2020-04-22 Available
Att7_Research Determination.pdf Supplementary Document Uploaded 2020-04-22 Available
Att5_Investigation Protocol.docx Supplementary Document Uploaded 2020-04-22 Available
Att4b_Consent Form.docx Supplementary Document Uploaded 2020-04-22 Available
Att1_Authorizing Legislation.docx Supplementary Document Uploaded 2020-04-22 Available
SSB_Seroprevalence_clean_20200424.docx Supporting Statement B Uploaded 2020-04-24 Available
SSA_Seroprevalence_clean_20200424.docx Supporting Statement A Uploaded 2020-04-24 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241512 Household Questionnaire Form New
241511 Blood collection (no form) Other-Sample Collection - No Form New
241479 Individual Questionnaire Form New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2020 6 Months From Approved
9,680 0 0
2,420 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Individual Questionnaire n/a Individual Questionnaire 24APR2020
Blood collection (no form)
Household Questionnaire NA Household Questionnaire 24APR2020

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 9,680 0 0 9,680 0 0
Annual Time Burden (Hours) 2,420 0 0 2,420 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No