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[NCEZID] 2022 Ebola Traveler Follow Up Evaluation

IC 256626 under ICR 202301-0920-006 · OMB 0920-1376.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form
Form
Information Collection (IC) Details

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[NCEZID] 2022 Ebola Traveler Follow Up Evaluation 0920-1376-23BE
 
No Unchanged
 
Mandatory
 

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
Form 0920-1376 Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting Process Attachment A-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting_11.17.2022_FINAL.docx Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

350 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 18,200 0 0 0 0 18,200
Annual IC Time Burden (Hours) 4,550 0 0 0 0 4,550
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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