General Public - Household Questionnaire

SARS-CoV-2 Epidemiologic Data Collections

OMB: 0920-1297

IC ID: 241630

Information Collection (IC) Details

View Information Collection (IC)

General Public - Household Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Household Quiestionnaire 5. HH Transmission_Household Questionnaire_Instrument_OMB (omb)_Household Trans.docx NA Yes Yes Fillable Fileable

Disaster Management Emergency Response

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 92818

60 0
   
Individuals or Households
 
   50 %

  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 60 0 60 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

Title Document Date Uploaded
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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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