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CRF Symptom Screener
[NCEZID] Enhanced surveillance of respiratory illness among people experiencing homelessness in Anchorage, Alaska
Attachment 3_CRF_symptom screener_10-12-22_final
CRF Symptom Screener
OMB: 0920-1399
OMB.report
HHS/CDC
OMB 0920-1399
ICR 202211-0920-009
IC 257029
CRF Symptom Screener
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1399 can be found here:
2023-11-01 - No material or nonsubstantive change to a currently approved collection
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