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CRF Symptom Screener
[NCEZID] Enhanced surveillance of respiratory illness among people experiencing homelessness in Anchorage, Alaska
OMB: 0920-1399
IC ID: 257029
OMB.report
HHS/CDC
OMB 0920-1399
ICR 202310-0920-012
IC 257029
( )
Documents and Forms
Document Name
Document Type
CRF Symptom Screener
Form and Instruction
CRF Symptom Screener
Attachment 3_CRF_symptom screener_10-12-22_final.docx
Form and Instruction
0920-1399 CRF Symptom Screener - Enrollment form, symptom screening, and vaccination status 27OCT2023
Attachment 3_CRF_symptom screener_10.20.23_CLEAN.docx
Form and Instruction
Information Collection (IC) Details
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