Emergency Submission for Active Monitoring of Travelers Coming from Ebola-affected Countries and Their Contacts Currently Residing in State, Territorial, and Local Jurisdictions

OMB 0920-1066

Latest Forms, Documents, and Supporting Material

Document Name
Weekly Active Monitoring - web Form
Daily Active Monitoring Tracking Report - web Form
Daily Active Monitoring Tracking Report - excel Form
SCTF AM-DAM EmergReq SS_B 20150330clean.docx Supporting Statement B
SCTF AM-DAM EmergReq SS_A 20150519-trackedchanges.doc Supporting Statement A
AttJ - NACCHO OMB Review clean.docx Supplementary Document
AttI - ASTHO OMB Review clean.docx Supplementary Document
AttH - CDC Ebola Assist Memo for State.pdf Supplementary Document
AttB - Interim US Guid Ebola Monit Move.pdf Supplementary Document
AttA - Authorizing Legislation.pdf Supplementary Document
Weekly Active Monitoring - web Form
Daily Direct Active Monitoring Tracking Report - email Instruction
Daily Active Monitoring Tracking Report - web Form
Daily Active Monitoring Tracking Report - excel Form