Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting

2022 Ebola Traveler Follow Up Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1376 can be found here:

Documents and Forms

Document Name Document Type
Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting Form and Instruction
Risk Assessment and Post-Arrival Monitoring Outcome Repo Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx Form and Instruction

Information Collection (IC) Details

IC Title:	Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Risk Assessment and Post-Arrival Monitoring Outcome Reporting Process for Persons with Travel History from Uganda	Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,200	18,200
Annual IC Time Burden (Hours)	4,550	4,550
Annual IC Cost Burden (Dollars)	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.