OMB control number

Ebola Transmission Dynamics among Household Contacts in West Africa: a Public Health Response Evaluation in Western Area, Sierra Leone

OMB 0920-1043 · HHS/CDC.

OMB 0920-1043

Latest forms, documents, and information collections
Document	Type
Patient Laboratory Record	Form
Contact Exit Questionnaire	Form and Instruction
Questionnaire for Investigation of Contacts of Ebola-infected Case-Patients	Form and Instruction
Questionnaire for Ebola-Affected Households	Form and Instruction
Initial Questionnaire for Case-Patients	Form and Instruction
Att4 Visual Diagram Storyboard 20150118.docx	Supplementary Document
AppndxF Sierra-Leone-Currency-Convert-USD.pdf	Supplementary Document
AppndxE Sierra-Leone-Minimum-Wage.pdf	Supplementary Document
AppndxD BLS Int Labor Comp Pgm Discont Notice.pdf	Supplementary Document
AppndxC Ebola Alert Crit Surveill Systm Diagram.docx	Supplementary Document
AppndxB SORN 09-20-0113 Epi Invest Case Records.pdf	Supplementary Document
AppndxA 42 USC 241 PH Service Act Section 301.pdf	Supplementary Document
20141231 CDCEmergReqEbolaHHTransmiss_Sierra Leone.pdf	Supplementary Document
SupStmnt B HHTransmiss Sierra Leone 20150118.docx	Supporting Statement B
SupStmnt A HHTransmiss Sierra Leone 20150121.docx	Supporting Statement A
Patient Laboratory Record	Form
Contact Exit Questionnaire	Form and Instruction
Questionnaire for Investigation of Contacts of Ebola-infected Case-Patients	Form and Instruction
Questionnaire for Ebola-Affected Households	Form and Instruction
Initial Questionnaire for Case-Patients	Form and Instruction

Historical document collections
Reference	Filing	Received	Concluded	Action
201501-0920-021	New collection (Request for a new OMB Control Number)	2015-01-22		Approved without change