OMB control number

Emergency Zika Package II: Persistence of zika virus in body fluids and case-control investigation of etiologic agents associated with Guillain-Barré Syndrome

OMB 0920-1106 · HHS/CDC.

OMB 0920-1106

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Viral Shedding Eligibility FormForm and Instruction
Case-Control Study Questionnaire for Investigation of GBS in relation to Arboviral InfectionsForm and Instruction
Chart Abstraction for the Investigation of GBS in relation to Arboviral InfectionsForm and Instruction
Zika Shedding Study QuestionnaireForm and Instruction
Zika Shedding Study QuestionnaireForm and Instruction
SSA - Emergency Zika Package II_18MAR2016.docxSupporting Statement A
SSB - Emergency Zika Package II.docxSupporting Statement B
Att. O -- IRB approval for shedding study.pdf Supplementary Document
Att. N -- IRB Letter for case control investigation.pdf Supplementary Document
Att P -- shedding study flow chart.docx Supplementary Document
Att. M -- Shedding model coupon.docx Supplementary Document
Att. L -- Shedding protocol for specimen collection.docx Supplementary Document
Att. K -- Shedding counseling messages.docx Supplementary Document
Att. I -- Shedding consent forms for asymptomatic contacts.docx Supplementary Document
Att. H -- Shedding Consent Form.docx Supplementary Document
Att. E -- Case-control consent form 2.docx Supplementary Document
Att. D -- Case-control consent form.docx Supplementary Document
Att. B -- 60-Day FRN for Zika Emergency II.docx Supplementary Document
Att. A -- Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Emergency request memo -- Zika II.pdf Supplementary Document
Viral Shedding Eligibility Form Form and Instruction
GBS Questionnaire - Cases and Controls Form and Instruction
GBS Chart Abstraction Questionnaire Form and Instruction
Zika Virus Shedding Questionnaire - Asymptomatic Form and Instruction
Zika Virus Shedding Questionnaire - Symptomatic Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201603-0920-008 New collection (Request for a new OMB Control Number) 2016-03-18 Approved with change