Information Collection Request
[NCEZID] Enhanced surveillance of respiratory illness among people experiencing homelessness in Anchorage, Alaska
ICR 202211-0920-009 · OMB 0920-1399 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1399 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CRF Symptom Screener |
Form and Instruction | New | Repair queued |
 Attachment 7_20220721_REDCap_PIA_Signed.pdf |
Supplementary Document | Uploaded 2022-11-21 | Repair queued |
 Attachment 6_Consent Respiratory surveillance Alaska 25July2022.docx |
Supplementary Document | Uploaded 2022-11-21 | Repair queued |
| Attachment 5_Protocol Respiratory surveillance Alaska 25July2022.docx |
Supplementary Document | Uploaded 2022-11-21 | Repair queued |
| Attachment 4 080322SS-NR-signed.pdf |
Supplementary Document | Uploaded 2022-11-21 | Repair queued |
| Attachment 2_60dayPublished FRN 2022-11771.pdf |
Supplementary Document | Uploaded 2022-11-21 | Repair queued |
| Attachment 1_Section 301 of the Public Health Service Act (42 USC 241).pdf |
Supplementary Document | Uploaded 2022-11-21 | Available |
| Supporting Statement B.docx |
Supporting Statement B | Uploaded 2022-11-21 | Repair queued |
| Supporting Statement A_final.docx |
Supporting Statement A | Uploaded 2022-11-21 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 257029 |  CRF Symptom Screener |
Form and Instruction | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1399 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | 0920-22FT |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |