[NCEZID] Traveler-based Genomic Surveillance

ICR 202503-0920-008

OMB: 0920-1406

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-1406 [NCEZID] Traveler-based Genomic Surveillance Questionnaire (24EQ) Form	Modified
Form 0920-1406 [NCEZID] Traveler-based Genomic Surveillance Questionnaire (24EQ) Form	Modified
0920-1406 Non-Sub Change Request -DGMH - TGS.docx Justification for No Material/Nonsubstantive Change	2025-03-06
0920-1406 Non-Sub Change Request -DGMH - TGS.docx Justification for No Material/Nonsubstantive Change	2025-03-06
Change Request Memo.docx Justification for No Material/Nonsubstantive Change	2024-04-10
Change Request Memo.docx Justification for No Material/Nonsubstantive Change	2024-04-10
Change Request Memo.docx Justification for No Material/Nonsubstantive Change	2024-01-02
Change Request Memo.docx Justification for No Material/Nonsubstantive Change	2024-01-02
RSV question justification v2.docx Justification for No Material/Nonsubstantive Change	2023-08-11
RSV question justification v2.docx Justification for No Material/Nonsubstantive Change	2023-08-11
Attachment 6-Human Subjects Determination.pdf Supplementary Document	2023-03-09
Attachment 6-Human Subjects Determination.pdf Supplementary Document	2023-03-09
Attachment 5-Privacy Impact Assessment.pdf Supplementary Document	2023-03-09
Attachment 5-Privacy Impact Assessment.pdf Supplementary Document	2023-03-09
Attachment 4B - Recruitment Script.docx Supplementary Document	2023-03-09
Attachment 4B - Recruitment Script.docx Supplementary Document	2023-03-09
Attachment 4A - Consent.docx Supplementary Document	2023-03-09
Attachment 4A - Consent.docx Supplementary Document	2023-03-09
Attachment 2 - 60-day FRN.pdf Supplementary Document	2023-03-09
Attachment 2 - 60-day FRN.pdf Supplementary Document	2023-03-09
Attachment 1D - Authorizing Legislation - Section 311.pdf Supplementary Document	2023-03-09
Attachment 1D - Authorizing Legislation - Section 311.pdf Supplementary Document	2023-03-09
Attachment 1C - Authorizing Legislation - Section 301.pdf Supplementary Document	2023-03-09
Attachment 1C - Authorizing Legislation - Section 301.pdf Supplementary Document	2023-03-09
Attachment 1B - Authorizing Legislation - 42 CFR 71.pdf Supplementary Document	2023-03-09
Attachment 1B - Authorizing Legislation - 42 CFR 71.pdf Supplementary Document	2023-03-09
Attachment 1A - Authorizing Legislation - 42 CFR 70.pdf Supplementary Document	2023-03-09
Attachment 1A - Authorizing Legislation - 42 CFR 70.pdf Supplementary Document	2023-03-09
2. Supporting Statement B.docx Supporting Statement B	2023-03-09
2. Supporting Statement B.docx Supporting Statement B	2023-03-09
1. Supporting Statement A_final_030425.docx Supporting Statement A	2025-03-06
1. Supporting Statement A_final_030425.docx Supporting Statement A	2025-03-06

IC Document Collections

IC ID	Document Title	Status
259028	[NCEZID] Traveler-based Genomic Surveillance Questionnaire (24EQ) Form	Modified
259028	[NCEZID] Traveler-based Genomic Surveillance Questionnaire (24EQ) Form	Modified