OMB control number

2014 Emergency Response to Ebola in West Africa: Data Collection for Assisting Foreign and International Entities to Conduct Public Health Activities

OMB 0920-1033 · HHS/CDC.

OMB 0920-1033

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-1033 Att D HCW.EVD.expriskreport_SierraLeoneForm and Instruction
Form 0920-1033 Att C HCW.Ebola.virus.invest.questionnaire_LiberiaForm and Instruction
Form 0920-1033 Att B1 HCW.EVD.expriskreport_WestAfrica v10 Eng TranslationForm and Instruction
Form 0920-1033 Att B HCW.EVD.expriskreport_WestAfrica v10 FrenchForm and Instruction
Form 0920-1033 Att A HCW.EVD.expriskreport_WestAfricaForm and Instruction
Form 0920-15CN Attachment M_Health Facility Assessment and Case Finding SurveyForm and Instruction
Form 0920-15CN Attachment L_Ebola Virus Disease Case Contact QuestionnaireForm and Instruction
Form 0920-15CN Attachment N_Viral Hemorrhagic Fever Contact Tracing Follow-Up FormForm and Instruction
Form 0920-15CN Attachment K_Viral Hemorrhagic Fever Contact Listing Form_LiberiaForm and Instruction
Form 0920-15CN Attachment J_Viral Hemorrhagic Fever Contact Listing Form_Guinea_FrenchForm and Instruction
Form 0920-15CN Attachment I_Viral Hemorrhagic Fever Contact Listing Form_Senegal_FrenchForm and Instruction
Form 0920-15CN Attachment H_Viral Hemorrhagic Fever Contact Listing Form_GeneralForm and Instruction
Form 0920-15CN Attachment G_Viral Hemorrhagic Fever Case Investigation Form_Short Version_LiberiaForm and Instruction
Form 0920-15CN Attachment F_Viral Hemorrhagic Fever Case Investigation Form_NigeriaForm and Instruction
Form 0920-15CN Attachment E_Viral Hemorrhagic Fever Case Investigation Form_Sierra LeoneForm and Instruction
Form 0920-15CN Attachment D_Viral Hemorrhagic Fever Case Investigation Form_Liberia (2)Form and Instruction
Form 0920-15CN Attachment C_Viral Hemorrhagic Fever Case Investigation Form_Senegal_FrenchForm and Instruction
Form 0920-15CN Attachment B_Viral Hemorrhagic Fever Case Investigation Form_Guinea_FrenchForm and Instruction
non-Substantive Change Request to 0920-1033 1-14-15.docx Justification for No Material/Nonsubstantive Change
Attachment O_Ebola Virus Epi Invest SORN_10-06-2014.doc Supplementary Document
International_Ebola Emergency Clearance SSA Final.docxSupporting Statement B
International_Ebola Emergency Clearance SSA Final.docxSupporting Statement A
Healthcare Worker- Ebola Virus Disease Exposure Risk Report - Sierra Leone Form and Instruction
Healthcare Worker-Ebola Virus Disease Investigation Questionnaire - Liberia Form and Instruction
Healhcare Worker-Ebola Virus Disease Exposure Risk Report (CDC/WHO) - French Form and Instruction
Healhcare Worker-Ebola Virus Disease Exposure Risk Report (CDC/WHO) - French Form and Instruction
Healthcare Worker-Ebola Virus Disease Exposure Risk Report (CDC/WHO) Form and Instruction
Health Facility Assessment and Case Finding Survey Form and Instruction
Ebola Virus Disease Case Contact Questionnaire Form and Instruction
Viral Hemorrhagic Fever Contact Tracing Follow-Up Form Form and Instruction
Viral Hemorrhagic Fever Contact Listing Form (Liberia) Form and Instruction
Viral Hemorrhagic Fever Contact Listing Form (Guinea French) Form and Instruction
Viral Hemorrhagic Fever Contact Listing Form (Senegal French) Form and Instruction
Viral Hemorrhagic Fever Contact Listing Form (General) Form and Instruction
Viral Hemorrhagic Fever Case Investigation Form (Short Version Liberia) Form and Instruction
Viral Hemorrhagic Fever Case Investigation Form (Nigeria) Form and Instruction
Viral Hemorrhagic Fever Case Investigation Form (Sierra Leone) Form and Instruction
Viral Hemorrhagic Fever Case Investigation Form (Liberia) Form and Instruction
Viral Hemorrhagic Fever Case Investigation Form (Senegal French) Form and Instruction
Viral Hemorrhagic Fever Case Investigation Form (Guinea French) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201501-0920-017 No material or nonsubstantive change to a currently approved collection 2015-01-16 Approved without change
201410-0920-027 New collection (Request for a new OMB Control Number) 2014-10-24 Approved without change