OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Reproductive Health Call-Back Survey (ZRHCS), PUERTO RICO 2017

OMB 0920-1188 ยท HHS/CDC.

OMB 0920-1188

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Puerto Rico BRFSS Coordinator - Data submissionForm and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Call Back SurveyForm and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Recruitment ScriptForm and Instruction
60d FRN - ZRHCS 27APR2017.pdf Supplementary Document
SSB - BRFSS PR ZIka Call Back 6-26-2017_clean.docxSupporting Statement B
SSA - BRFSS PR Zika Call back_6-26-2017_clean.docxSupporting Statement A
Att 6 Non-research determination.pdf Supplementary Document
Att 2 BRFSS Jurisdictions at High Risk for Zika Cases_3-23-2017.docx Supplementary Document
Att 1 Authorizing Legislation - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
request memo Bauer.pdf Supplementary Document
Puerto Rico BRFSS Coordinator - Data submission Form and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Call Back Survey Form and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Recruitment Script Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201704-0920-008 New collection (Request for a new OMB Control Number) 2017-07-07 Approved with change