OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika virus persistence in body fluids of patients with Zika virus infection in Puerto Rico (ZIPER Study)

OMB 0920-1140 ยท HHS/CDC.

OMB 0920-1140

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Contact Information FormForm and Instruction
Shedding Eligibility FormForm and Instruction
Questionnaire for Men in Semen StudyForm and Instruction
Shedding Questionnaire - AsymptomaticsForm and Instruction
Shedding Questionnaire - SymptomaticsForm and Instruction
Shedding Questionnaire - Public Health PersonnelForm and Instruction
Contact Information FormForm
Shedding EligibilityForm and Instruction
Baseline and Follow-Up Questionnaire - AsymptomaticForm and Instruction
Baseline and Follow-Up Questionnaire - SymptomaticForm and Instruction
Att. L - IRB approval.docx Supplementary Document
Att. M - Informational Flyer.docx Supplementary Document
Att. K - Counseling messages.docx Supplementary Document
Att. J - Laboratory Form.docx Supplementary Document
Att. I - Protocol for specimen collection ESP.docx Supplementary Document
Att. I - Protocol for specimen collection.docx Supplementary Document
Att. F - ZIPER Phone Recruitment Script ESP.docx Supplementary Document
Att. F - ZIPER Phone Recruitment Script.docx Supplementary Document
Att. E - Consent forms ESP.docx Supplementary Document
Att. E - Consent forms.docx Supplementary Document
Att. C - Model coupon.docx Supplementary Document
Att. B - 60-day FRN (0920-1140).pdf Supplementary Document
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
SSB_0920-1140_2017_Revision.docxSupporting Statement B
SSA_0920-1140_13JUL2017.docxSupporting Statement A
Contact Information Form Form and Instruction
Shedding Eligibility Form Form and Instruction
Questionnaire for Men in Semen Study Form and Instruction
Shedding Questionnaire - Asymptomatics Form and Instruction
Shedding Questionnaire - Symptomatics Form and Instruction
Shedding Questionnaire - Public Health Personnel Form and Instruction
Contact Information Form Form
Shedding Eligibility Form and Instruction
Baseline and Follow-Up Questionnaire - Asymptomatic Form and Instruction
Baseline and Follow-Up Questionnaire - Symptomatic Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201707-0920-005 Revision of a currently approved collection 2017-07-14 Approved without change
201606-0920-022 New collection (Request for a new OMB Control Number) 2016-07-13 Approved with change