Information Collection Request

Factors Influencing the Transmission of Influenza

ICR 202101-0920-010 · OMB 0920-0888 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Initial Verbal Screening Form and Instruction Modified Repair queued
Health Questionnaire Form Modified Available
Attachment 7 - IRB Approval of Continuation.pdf Supplementary Document Uploaded 2021-02-18 Repair queued
Attachment 2 - Federal Register Notice.pdf Supplementary Document Uploaded 2021-02-18 Repair queued
Attachment 1 - Authorizing Legislation.docx Supplementary Document Uploaded 2021-02-18 Repair queued
Influenza Section B_2021-2-16.docx Supporting Statement B Uploaded 2021-02-18 Repair queued
Influenza Section A_2021-2-18.docx Supporting Statement A Uploaded 2021-02-18 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228011 Initial Verbal Screening Form and Instruction Modified
196083 Medical Testing Other-Summary of Medical Tests Modified
196082 Health Questionnaire Form Modified
196081 Informed Consent Other-Informed Consent Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 02/28/2021
450 450
148 148
2,137 0





table that charts list of burden
  Total Request 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 450 450 0 0 0 0
Annual Time Burden (Hours) 148 148 0 0 0 0
Annual Cost Burden (Dollars) 2,137 0 0 2,137 0 0


Reginfo record details
  No