[NCEZID] Contact Investigation Outcome Reporting Forms

ICR 202408-0920-006

OMB: 0920-0900

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-0900 Att G_Influenza Outbreak Enhanced Data Collection Form – Maritime Form and Instruction	Modified
Form 0920-0900 Att F_Varicella Outbreak Enhanced Data Collection Form - Maritime Form	Modified
Form 0920-0900 Att K_Rubella Aircraft Contact Investigation Outcome Reporting Form	Modified
Form 0920-0900 Att J_Measles Aircraft Contact Investigation Outcome Reporting Form Form	Modified
Form 0920-0900 Att E_TB Maritime Contact Investigation Worksheet Form	Modified
Form 0920-0900 Att I_General Land Contact Investigation Outcome Reporting Form Form	Modified
Form 0920-0900 Att H_General Aircraft Contact Investigation Outcome Reporting Form Form	Modified
Form 0920-0900 Att L_General Land Contact Investigation Outcome Reporting Form Form	Modified
0920-0900 SupSta B_FINAL.docx Supporting Statement B	2024-08-16
0920-0900 SupSta A_FINAL_081924.docx Supporting Statement A	2024-08-20
Att. M-QARS_PIA_Signed_2022-07-29.pdf Supplementary Document	2024-08-12
Att. D Non-researach Determination.pdf Supplementary Document	2024-08-12
Att. M-QARS_PIA.pdf Supplementary Document	2024-08-12
Att. B-60 Day Federal Register Notice_0920-0900_6.4.2024.pdf Supplementary Document	2024-08-12
Att. A3-42 CFR part 71 Authorizing Legislation.pdf Supplementary Document	2024-08-12
Att. A2-42 CFR part 70 Authorizing Legislation.pdf Supplementary Document	2024-08-12
Att. A1-Section 361 of the Public Health Service Act (42 USC 264).pdf Supplementary Document	2024-08-08

IC Document Collections

IC ID	Document Title	Status
231143	Att G_Influenza Outbreak Enhanced Data Collection Form – Maritime Form and Instruction	Modified
231142	Att F_Varicella Outbreak Enhanced Data Collection Form - Maritime Form	Modified
212222	Att K_Rubella Aircraft Contact Investigation Outcome Reporting Form	Modified
197948	Att J_Measles Aircraft Contact Investigation Outcome Reporting Form Form	Modified
197947	Att E_TB Maritime Contact Investigation Worksheet Form	Modified
197946	Att I_General Land Contact Investigation Outcome Reporting Form Form	Modified
197945	Att H_General Aircraft Contact Investigation Outcome Reporting Form Form	Modified
197943	Att L_General Land Contact Investigation Outcome Reporting Form Form	Modified