Information Collection Request

[NCEZID] 2022 Ebola Traveler Follow Up Evaluation

ICR 202301-0920-006 · OMB 0920-1376 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Form and Instruction	Unchanged	Repair queued
Attachment A-REDCap END of response CUMULATIVE Data Questions for SLHDs_12.09.2022.docx	Supplementary Document	Uploaded 2023-01-10	Repair queued
0920-1376 Change Request-2022 Ebola Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting _12.9.2022.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-01-10	Missing upstream
Request for Approval [0920-1376] -2022 ERA & Post-Arrival Monitoring Outcome REDCap Reporting _11.16.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-11-29	Missing upstream
Attachment D-IRB Non-Research Determination.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
Emergency Review Request Memo - 2022 Ebola Traveler Follow Up Evaluationt-10.26.2022.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
SSB Emergency Clearance 2022 Ebola Traveler Follow Up Evaluation 10.18.2022.docx	Supporting Statement B	Uploaded 2022-10-26	Repair queued
SSA Emergency Clearance 2022 Ebola Traveler Follow Up Evaluation_10.26.2022.docx	Supporting Statement A	Uploaded 2022-10-26	Repair queued
Attachment A2-42 CFR part 71.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued
Attachment A1-42 USC 264.pdf	Supplementary Document	Uploaded 2022-10-26	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
256626	[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Form and Instruction	Unchanged

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1376
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202211-0920-017
Agency Tracking No	0920-1376-23QB
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	2022-10-28