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Chronic Q Fever Enhanced Surveillance (Follow-up0
Chronic Q Fever in the United States: Enhanced Clinical Surveillance
OMB: 0920-1305
IC ID: 262134
OMB.report
HHS/CDC
OMB 0920-1305
ICR 202309-0920-006
IC 262134
( )
Documents and Forms
Document Name
Document Type
Form 0920-1305
Chronic Q Fever Enhanced Surveillance (Follow-up0
Form
0920-1305 Chronic Q Fever - Enhanced Surveillance Follow-up Instrument
Att 7 Chronic Q fever enhanced surveillance report form – Follow-up.pdf
Form
Att 3 NNDSS Q Fever Case Definition.pdf
NNDSS Q Fever Case Definition
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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