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Occupational Health Nurses at Healthcare Facilities (no form)
Emerging Infections Program Tracking of SARS-CoV-2 Infections among Healthcare Personnel
OMB: 0920-1296
IC ID: 241437
OMB.report
HHS/CDC
OMB 0920-1296
ICR 202009-0920-021
IC 241437
( )
Documents and Forms
Document Name
Document Type
Form 0920-20MZ
Occupational Health Nurses at Healthcare Facilities (no form)
Form
0920-20MZ Occupational Health Nurses at Healthcare Facilities
Occupational Health Nurses at Healthcare Facilities (no form).docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Occupational Health Nurses at Healthcare Facilities (no form)
Agency IC Tracking Number:
0920-20MZ
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-20MZ
Occupational Health Nurses at Healthcare Facilities
Occupational Health Nurses at Healthcare Facilities (no form).docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
50
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
1,200
0
0
0
0
1,200
Annual IC Time Burden (Hours)
300
0
0
0
0
300
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
