OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Congenital Syphilis Case Investigation and Report Form

OMB 0920-0128 ยท HHS/CDC.

OMB 0920-0128

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Congenital Syphilis (CS) Case Investigation and Report Form: Local Health DepartmentForm
Congenital Syphilis (CS) Case Investigation and Report Form Territorial Health AgenciesForm
Congenital Syphilis (CS) Case Investigation and Report Form: City and county health departmentsForm
SupportB.docSupporting Statement B
Att3b Instrument.doc Supplementary Document
Att3a DataElements.doc Supplementary Document
Att5 PublicationList.doc Supplementary Document
Att4 DataReleaseGuidelines.doc Supplementary Document
Att2_60Day FRN.pdf Supplementary Document
Att1 Auth Legis.doc Supplementary Document
SupportA.docSupporting Statement A
Congenital Syphilis (CS) Case Investigation and Report Form: Local Health Department Form
Congenital Syphilis (CS) Case Investigation and Report Form Territorial Health Agencies Form
Congenital Syphilis (CS) Case Investigation and Report Form: City and county health departments Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201212-0920-005 Revision of a currently approved collection 2012-12-10 Approved without change
201002-0920-007 Revision of a currently approved collection 2010-02-22 Approved without change
200612-0920-012 Extension without change of a currently approved collection 2006-12-29 Approved without change
200307-0920-008 Revision of a currently approved collection 2003-07-25 Approved without change
200005-0920-004 Extension without change of a currently approved collection 2000-05-18 Approved without change
199703-0920-007 Extension without change of a currently approved collection 1997-03-28 Approved without change
199403-0920-004 Revision of a currently approved collection 1994-03-01 Approved without change
199103-0920-001 Revision of a currently approved collection 1991-03-14 Approved without change
198803-0920-001 Revision of a currently approved collection 1988-03-22 Approved without change
198503-0920-003 Extension without change of a currently approved collection 1985-03-20 Approved without change
198301-0920-002 New collection (Request for a new OMB Control Number) 1983-01-24 Approved without change