All Age Influenza Hospitalization Surveillance Project

OMB 0920-0806

Latest Forms, Documents, and Supporting Material

Document Name
Form 7 Adult Discharge Audit Form D: Future Form
Form 6 Adult Discharge Audit Form C: Summary Form
Form 5 Adult Discharge Audit Form B: Sampling Strategy Form
Form 4 Adult Discharge Audit Form A: Description of Matching Method Form
Form 3 Adult Discharge Audit Case Report Form Form
Form 2 Pediatric Influenza Hospitalization Surveillance Project Form
Form 1 Adult Influenza Hospitalization Surveillance Project Case Form
CDC Influenza Survey.doc Supplementary Document
SS_Section B.doc Supporting Statement B
30dy0808AB draft.doc Supplementary Document
Attachment 20 Discharge Audit SchematicFinal21608.doc Supplementary Document
Attachment 19 Adult SchematicFinal21608.doc Supplementary Document
Attachment 18 Peds SchematicFinal21608.doc Supplementary Document
Attachment 17 Example of Sampling StrategyFinal21608.doc Supplementary Document
Attachment 16 adult consent formFinal21608.doc Supplementary Document
Attachment 15 pediatric consent formFinal021608.doc Supplementary Document
Attachment 14 Adult Flu Phone Script_Final21608.doc Supplementary Document
Attachment 13 Peds Flu Phone Script_final21608.doc Supplementary Document
Attachment 12 Adult IRB.doc Supplementary Document
Attachment 10 References.doc Supplementary Document
Attachment 2 60 Day FRN All_Flu_Hosp.pdf Supplementary Document
Peds IRB exemption letter.pdf Supplementary Document
SS_Section A 3.28 Final.doc Supporting Statement A
Adult Discharge Audit Form D: Future Form
Adult Discharge Audit Form C: Summary Form
Adult Discharge Audit Form B: Sampling Strategy Form
Adult Discharge Audit Form A: Description of Matching Method Form
Adult Discharge Audit Case Report Form Form
Pediatric Influenza Hospitalization Surveillance Project Form
Adult Influenza Hospitalization Surveillance Project Case Form