OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Reproductive Health Call-Back Survey (ZRHCS), Puerto Rico, 2017

OMB 0920-1212 ยท HHS/CDC.

OMB 0920-1212

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Data Submission Layout - PRA BRFSS CoordinatorsForm
Call-back Survey and ConsentForm and Instruction
Recruitment ScriptForm and Instruction
Att 5 ZRHCS Non-research determination.pdf Supplementary Document
Att 2b Public Comment 60 day FRN - ZRHCS.pdf Supplementary Document
Att 2a 60d FRN - ZRHCS 27APR2017.pdf Supplementary Document
Att 1 Authorizing Legislation - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
SSB - BRFSS PR Zika Call back_9-7-2017_clean.docxSupporting Statement B
SSA - BRFSS PR Zika Call back_8-11-2017.docxSupporting Statement A
Data Submission Layout - PRA BRFSS Coordinators Form
Call-back Survey and Consent Form and Instruction
Recruitment Script Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201708-0920-024 New collection (Request for a new OMB Control Number) 2017-09-28 Approved without change