OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Persistence of Ebola Virus in Body Fluids of Ebola Virus Disease Survivors in Sierra Leone

OMB 0920-1064 ยท HHS/CDC.

OMB 0920-1064

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Laboratory Results FormForm
FEMALE Participants Follow-Up Questionnaire - Module BForm and Instruction
FEMALE Participants Survivor Questionnaire - Module BForm and Instruction
FEMALE Participants Follow-Up Questionnaire - Module AForm and Instruction
FEMALE Participants Survivor Questionnaire - Module AForm and Instruction
MALE Participants Follow-Up Questionnaire - Module AForm and Instruction
MALE Participants Survivor Questionnaire - Module AForm and Instruction
PILOT Participants Follow-Up QuestionnaireForm and Instruction
PILOT Participants Survivor QuestionnaireForm and Instruction
Study Intake FormForm
20150518 SupptngStmntB-BodyFluidsSL_clean.docxSupporting Statement B
20150518 SupptngStmntA-BodyFluidsSL_clean.docxSupporting Statement A
OMBEmerRqustMemo EBOVPersist 20150518.pdf Supplementary Document
Att8_CounsellingScript.docx Supplementary Document
Att4_ParticipantStudyIDCard.pptx Supplementary Document
Att3_ConsentFormModuleB.docx Supplementary Document
Att2_ConsentFormPilotModuleA.docx Supplementary Document
AppndxC Sierra-Leone-Minimum-Wage.pdf Supplementary Document
AppndxB HmnSubjcts Revw-Apprvls.docx Supplementary Document
AppndxA 42 USC 241 PH Service Act Section 301.pdf Supplementary Document
Laboratory Results Form Form
FEMALE Participants Follow-Up Questionnaire - Module B Form and Instruction
FEMALE Participants Survivor Questionnaire - Module B Form and Instruction
FEMALE Participants Follow-Up Questionnaire - Module A Form and Instruction
FEMALE Participants Survivor Questionnaire - Module A Form and Instruction
MALE Participants Follow-Up Questionnaire - Module A Form and Instruction
MALE Participants Survivor Questionnaire - Module A Form and Instruction
PILOT Participants Follow-Up Questionnaire Form and Instruction
PILOT Participants Survivor Questionnaire Form and Instruction
Study Intake Form Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201505-0920-002 New collection (Request for a new OMB Control Number) 2015-05-19 Approved without change