OMB control number
Data Collection for Ebola Virus Disease Patients Treated Outside of West Africa
OMB 0920-1040 ยท HHS/CDC.
OMB 0920-1040
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 US-WHO INTERNATIONAL CLINICAL NETWORK EBOLA VIRUS DISEASE CLINICAL DATA COLLECTION TOOL | Form and Instruction |
 EmerReq US-WHO ClinNetworkEVD Privacy Act Chcklst 20150109.docx | Supplementary Document |
 EmerRqustMemo US-WHO ClinNetwrk EVD ClinDataColl 20150108.pdf | Supplementary Document |
| AppndxD SORN 09-20-0113 Epidemic Invest Case Records.pdf | Supplementary Document |
| AppndxB Email Invitation 20150109 V4.docx | Supplementary Document |
| AppndxA 42 USC 241 PH Service Act Section 301.pdf | Supplementary Document |
| SupStmnt B US-WHO ClinNetwork EVD ClinDataColl 20150109.docx | Supporting Statement B |
| SupStmnt A US-WHO ClinNetwork EVD ClinDataColl 20150108 V3.docx | Supporting Statement A |
 US-WHO INTERNATIONAL CLINICAL NETWORK EBOLA VIRUS DISEASE CLINICAL DATA COLLECTION TOOL |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201501-0920-007 | New collection (Request for a new OMB Control Number) | 2015-01-09 | Approved without change |