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Chronic Q Fever-Enhanced Surveillance Report Form
Chronic Q Fever in the United States: Enhanced Clinical Surveillance
OMB: 0920-1305
IC ID: 242016
OMB.report
HHS/CDC
OMB 0920-1305
ICR 202309-0920-006
IC 242016
( )
Documents and Forms
Document Name
Document Type
Form 0920-1305
Chronic Q Fever-Enhanced Surveillance Report Form
Form
0920-1305 Q Fever Case Report
Att 6 Chronic Q fever enhanced surveillance report form.pdf
Form
Att 3 NNDSS Q Fever Case Definition.pdf
NNDSS Q Fever Case Definition
IC Document
Att 5 Consent Script.docx
Att 5._Consent Script for Survey
IC Document
Att 4 Supplemental Q Fever Case Report Form.pdf
Supplemental Q Fever Case Report Form (CFR)
IC Document
Information Collection (IC) Details
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