OMB
.report
Search
2024 Marburg Symptom Monitoring - Daily Group
[NCEZID] 2024 Marburg Traveler Symptom Monitoring & Feedback
OMB: 0920-1451
IC ID: 272456
OMB.report
HHS/CDC
OMB 0920-1451
ICR 202411-0920-012
IC 272456
( )
Documents and Forms
Document Name
Document Type
Form 0920-XXXX
2024 Marburg Symptom Monitoring - Daily Group
Form and Instruction
0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group_English
Attachment C1 - 2024 Marburg Symptom Monitoring Daily Group.docx
Form and Instruction
0920-XXXX 2024 Marburg Symptom Monitoring - Daily Group_Kinyarwand
Attachment C1a - 2024 Marburg Symptom Monitoring Daily Group_Kinyarwanda.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2024 Marburg Symptom Monitoring - Daily Group
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
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
0920-XXXX
2024 Marburg Symptom Monitoring - Daily Group_English
Attachment C1 - 2024 Marburg Symptom Monitoring Daily Group.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0920-XXXX
2024 Marburg Symptom Monitoring - Daily Group_Kinyarwanda
Attachment C1a - 2024 Marburg Symptom Monitoring Daily Group_Kinyarwanda.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
09-20-0171, Quarantine- and Traveler-Related Activities, including Records for Contact Tracing Investigation and Notification
FR Citation:
83 FR 6591
Number of Respondents:
438
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
9,198
0
9,198
0
0
0
Annual IC Time Burden (Hours)
153
0
153
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.