Marburg Virus Disease Healthcare Worker Monitoring 2024

[NCEZID] 2024 Marburg Traveler Monitoring Assessment

Documents and Forms

Document Name Document Type
Marburg Virus Disease Healthcare Worker Monitoring 2024 Form and Instruction
Marburg Virus Disease Healthcare Worker Monitoring 2024 Form and Instruction
Marburg Virus Disease Healthcare Worker Monitoring 2024 Attachment A - CDC Marburg Virus Disease Healthcare Worker Monitoring_NonSubChange_10.13.2024.docx Form and Instruction
Marburg Virus Disease Healthcare Worker Monitoring 2024 Attachment A - CDC Marburg Virus Disease Healthcare Worker Monitoring_NonSubChange_10.13.2024.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Marburg Virus Disease Healthcare Worker Monitoring 2024	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Marburg Virus Disease Healthcare Worker Monitoring 2024	Attachment A - CDC Marburg Virus Disease Healthcare Worker Monitoring_NonSubChange_10.13.2024.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7,280	7,280
Annual IC Time Burden (Hours)	607	607
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.