OMB control number
Enhanced Surveillance of Coccidioidomycosis in Low- and Non-Endemic States
OMB 0920-1087 ยท HHS/CDC.
OMB 0920-1087
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Case Report Form for Coccidioidomycosis | Form |
 Attachment 3 cocci surveillance non-research determination.pdf | Supplementary Document |
| Attach 2 60 day notice.pdf | Supplementary Document |
 Attach 1_Authorizing_Regulations_T42_section_241.doc | Supplementary Document |
| ICR Statement B cocci enhanced surveillance 5.7.15.docx | Supporting Statement B |
| ICR Statement A cocci enhanced surveillance 5.7.15.docx | Supporting Statement A |
 Case Report Form for Coccidioidomycosis |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201505-0920-006 | New collection (Request for a new OMB Control Number) | 2015-06-08 | Approved without change |