Information Collection Request

[NCEZID] Risk factors, clinical course, presence and persistence of virus in various bodily fluids, and risk of sexual transmission among U.S. adults with Oropouche virus disease

ICR 202506-0920-008 · OMB 0920-1446 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-25AU Sexual Contact Interview Form Modified Available
Form 0920-25AU Sexual Contact Interview form Form Modified Missing upstream
Form 0920-25AU Contact Tracing Survey Form Modified Available
Form 0920-25AU Contact Tracing Survey Form Modified Missing upstream
Form 0920-25AU Symptom Diary Form Modified Available
Form 0920-25AU Symptom Diary Form Modified Repair queued
Form 0920-25AU Follow-up Clinical Survey Form Modified Available
Form 0920-25AU Follow-up clinical survey Form Modified Repair queued
Form 0920-25AU Initial Clinical Survey Form Modified Repair queued
Form 0920-25AU Baseline survey Form Modified Repair queued
CSTE OROV Comments 7-11-2025.pdf Public Comments Uploaded 2025-07-11 Available
PC_202506-0920-008_071125_055555_1.pdf Public Comments Uploaded 2025-07-11 Available
Attachment_11_Consent_sexual_interview.docx Supplementary Document Uploaded 2025-06-18 Available
Attachment_11_Consent_sexual_interview.docx Supplementary Document Uploaded 2025-06-18 Repair queued
Attachment_10_Consent_sample_collection.docx Supplementary Document Uploaded 2025-06-18 Available
Attachment_10_Consent_sample_collection.docx Supplementary Document Uploaded 2025-06-18 Repair queued
Attachment_9_Consent_med_social.docx Supplementary Document Uploaded 2025-06-18 Available
Attachment_9_Consent_med_social.docx Supplementary Document Uploaded 2025-06-18 Repair queued
Attachment_8_Background_info_FAQ.docx Supplementary Document Uploaded 2025-06-18 Repair queued
Attachment_8_Background_info_FAQ.docx Supplementary Document Uploaded 2025-06-18 Repair queued
Emergency Request Memo_OROV Response_10.25.24.docx Supplementary Document Uploaded 2025-06-18 Available
Emergency Request Memo_OROV Response_10.25.24.docx Supplementary Document Uploaded 2025-06-18 Repair queued
Att. 13 Privacy Impact Assessment-2.pdf Supplementary Document Uploaded 2025-06-18 Repair queued
Att. 13 Privacy Impact Assessment-2.pdf Supplementary Document Uploaded 2025-06-18 Repair queued
Att. 12 Human Subjects Determination.pdf Supplementary Document Uploaded 2025-06-18 Available
Att. 12 Human Subjects Determination.pdf Supplementary Document Uploaded 2025-06-18 Missing upstream
Att. 1 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2025-06-18 Available
Att. 1 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2025-06-18 Repair queued
Att A_Explanation for Program Changes_0920-1446_non-sub_29Nov2024.docx Supplementary Document Uploaded 2024-12-04 Repair queued
Att A_Explanation for Program Changes_0920-1446_non-sub_29Nov2024.docx Supplementary Document Uploaded 2024-12-04 Repair queued
0920-1446 Change Request-2024 Oropouche Response_11.29.2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-04 Available
0920-1446 Change Request-2024 Oropouche Response_11.29.2024.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-12-04 Repair queued
Att. 13 Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-10-25 Repair queued
Att. 13 Privacy Impact Assessment.pdf Supplementary Document Uploaded 2024-10-25 Missing upstream
Att. 13 Privacy Impact Assessment-2.pdf Supplementary Document Uploaded 2024-10-25 Available
Att. 13 Privacy Impact Assessment-2.pdf Supplementary Document Uploaded 2024-10-25 Missing upstream
Att. 12 Human Subjects Determination.pdf Supplementary Document Uploaded 2024-10-25 Available
Att. 12 Human Subjects Determination.pdf Supplementary Document Uploaded 2024-10-25 Repair queued
Emergency Request Memo_OROV Response_10.25.24.docx Supplementary Document Uploaded 2024-10-25 Available
Emergency Request Memo_OROV Response_10.25.24.docx Supplementary Document Uploaded 2024-10-25 Repair queued
Att. 11 Script and consent for sexual partner interview and OROV testing .docx Supplementary Document Uploaded 2024-10-24 Available
Att. 11 Script and consent for sexual partner interview and OROV testing .docx Supplementary Document Uploaded 2024-10-24 Missing upstream
Att. 9 Consent for medical and social information .docx Supplementary Document Uploaded 2024-10-24 Available
Att. 9 Consent for medical and social information .docx Supplementary Document Uploaded 2024-10-24 Available
Att. 8 Background information and frequently asked questions for participants .docx Supplementary Document Uploaded 2024-10-24 Available
Att. 8 Background information and frequently asked questions for participants .docx Supplementary Document Uploaded 2024-10-24 Repair queued
Supporting Statement B_OROV Response_Revised_June_12__2025_clean.docx Supporting Statement B Uploaded 2025-06-17 Available
Supporting Statement B_OROV Response_Revised_June_12__2025_clean.docx Supporting Statement B Uploaded 2025-06-17 Repair queued
Supporting Statement A_OROV Response_Revised_June_12_2025_clean.docx Supporting Statement A Uploaded 2025-06-17 Available
Supporting Statement A_OROV Response_Revised_June_12_2025_clean.docx Supporting Statement A Uploaded 2025-06-17 Missing upstream
Att. 1 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2024-10-24 Available
Att. 1 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2024-10-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
271899 Sexual Contact Interview form Form ModifiedSexual Contact Interview
271899 Sexual Contact Interview form Form Modified
271898 Contact Tracing Survey Form ModifiedContact Tracing Survey
271898 Contact Tracing Survey Form Modified
271897 Symptom Diary Form ModifiedSymptom Diary
271897 Symptom Diary Form Modified
271896 Follow-up clinical survey Form ModifiedFollow-up Clinical Survey
271896 Follow-up clinical survey Form Modified
271895 Baseline survey Form ModifiedInitial Clinical Survey
271895 Baseline survey Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2028 36 Months From Approved
2,850 0 0
663 0 0
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
Baseline survey 0920-25AU
Contact Tracing Survey 0920-25AU
Follow-up clinical survey 0920-25AU
Sexual Contact Interview form 0920-25AU
Symptom Diary 0920-25AU

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,850 0 0 0 0 2,850
Annual Time Burden (Hours) 663 0 0 0 0 663
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No