OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Emergency Package V: Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections

OMB 0920-1118 · HHS/CDC.

OMB 0920-1118

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Case-Control Interview - Spanish 13JUL2016Form and Instruction
Case-Control Interview - English 13JUL2016Form and Instruction
Follow-Up Telephone Interview - SPANISH 15AUG2016Form and Instruction
Follow-Up Telephone Interview - ENGLISH 15AUG2016Form and Instruction
Initial Telephone Interview - SPANISH 15AUG2016Form and Instruction
Initial Telephone Interview - ENGLISH 15AUG2016Form and Instruction
0920-1118 Non-sub Change Request 8 15 16.docx Justification for No Material/Nonsubstantive Change
0920-1118 Non-sub Change Request.docx Justification for No Material/Nonsubstantive Change
Statement A 24 JUN2016.revised.docxSupporting Statement A
Attachment H.Logic Model of Puerto Rico Zika Response Activities.pptx Supplementary Document
Attachment G.IRB determination letter for project 2.pdf Supplementary Document
Attachment F.Projet 1.IRB letter of determination.pdf Supplementary Document
Statement B 16JUN2016 FINAL.docxSupporting Statement B
Emergency Review Request Memo - Zika 5 SIGNED.pdf Supplementary Document
Att. B - Draft 60-Day FRN.docx Supplementary Document
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Telephone Interview of Cases and Controls Form and Instruction
Telephone Interview of Cases and Controls Form and Instruction
Follow-Up Telephone Interview Form and Instruction
Follow-Up Telephone Interview Form and Instruction
Initial Telephone Interview Form and Instruction
Initial Telephone Interview Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201608-0920-008 No material or nonsubstantive change to a currently approved collection 2016-08-16 Approved without change
201607-0920-003 No material or nonsubstantive change to a currently approved collection 2016-07-14 Approved without change
201606-0920-019 No material or nonsubstantive change to a currently approved collection 2016-06-28 Approved without change
201606-0920-008 New collection (Request for a new OMB Control Number) 2016-06-17 Approved with change