OMB control number
Zika Virus Associated Neurologic Illness Case Control Study in Puerto Rico
OMB 0920-1141 ยท HHS/CDC.
OMB 0920-1141
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 SEVERE NEUROLOGIC ILLNESS Questionnaire for Case/Control | Form and Instruction |
 SEVERE NEUROLOGIC ILLNESS Chart Abstraction Questionnaire | Form and Instruction |
| SSA Neuro PR emergency request_24OCT2016 FINAL.docx | Supporting Statement A |
| Severe Neuro in PR_Consent Form_16Oct.docx | Supplementary Document |
 Emergency Request Memo - CDC Zika Case-Control Study - Puerto Rico (003).pdf | Supplementary Document |
| SSB Neuro PR Emergency_10-4-16.docx | Supporting Statement B |
| Att. g -- IRB Letter for case control investigation.pdf | Supplementary Document |
| Section 301 of the Public Health Service Act (42 USC 241).pdf | Supplementary Document |
 SEVERE NEUROLOGIC ILLNESS Questionnaire for Case/Control |
Form and Instruction |
| SEVERE NEUROLOGIC ILLNESS Chart Abstraction Questionnaire |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201610-0920-005 | New collection (Request for a new OMB Control Number) | 2016-10-24 | Approved without change |