OMB control number
Enhanced Surveillance for Histoplasmosis
OMB 0920-1230 ยท HHS/CDC.
OMB 0920-1230
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Case Report Form for Histoplasmosis Enhanced Surveillance - Health Department Personnel | Form and Instruction |
| Case Report Form for Histoplasmosis Enhanced Surveillance - Histoplasmosis Cases | Form and Instruction |
 Att 4 - Nonresearch determination-signed.pdf | Supplementary Document |
| Att 5 - Histoplasmosis enhanced surveillance protocol.docx | Supplementary Document |
| Att 2 - 60-Day FRN - histoplasmosis enhanced surveillance.pdf | Supplementary Document |
| Att 1 - Section 301 of the Public Health Service Act (42 USC 241).pdf | Supplementary Document |
| Supporting Statement B - histoplasmosis enhanced surveillance.docx | Supporting Statement B |
| Supporting Statement A - histoplasmosis enhanced surveillance.docx | Supporting Statement A |
 Case Report Form for Histoplasmosis Enhanced Surveillance - Health Department Personnel |
Form and Instruction |
| Case Report Form for Histoplasmosis Enhanced Surveillance - Histoplasmosis Cases |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201802-0920-008 | New collection (Request for a new OMB Control Number) | 2018-03-13 | Approved without change |