Epidemiologist - Pregnancy Module

SARS-CoV-2 Epidemiologic Data Collections

OMB: 0920-1297

IC ID: 241645

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Epidemiologist - Pregnancy Module
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Pregnancy Module 11. Pregnancy Module Supplement_Instrument_OMB.pdf NA Yes Yes Fillable Fileable

Disaster Management Emergency Response

Epidemiologic Studies and Surveillance of Disease Problems  57 FR 92812

20 0
   
State, Local, and Tribal Governments
 
   100 %

  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 20,000 0 20,000 0 0 0
Annual IC Time Burden (Hours) 15,000 0 15,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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