OMB control number

All Age Influenza Hospitalization Surveillance Project

OMB 0920-0806 · HHS/CDC.

OMB 0920-0806

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
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

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
200805-0920-002	New collection (Request for a new OMB Control Number)	2008-05-02		Approved with change