OMB control number

Communities Organized to Prevent Arboviruses: Assessment of Knowledge, Attitudes, and Vector Control Practices and Sero-Prevalence and Incidence of Arborviral Infection in Ponce, Puerto Rico (COPA)

OMB 0920-1254 · HHS/CDC.

OMB 0920-1254

The purpose of this project is to establish longitudinal follow-up of a community cohort and evaluate the impact of vector control interventions in 14 clusters in southern Puerto Rico. The investigators have prior experience working in these communities; however, there is minimal available information regarding the prevalence or incidence of infection with tropical arboviruses, density of Ae. aegypti mosquitoes, or cluster members’ knowledge, attitudes, and practices regarding behaviors intended to avoid mosquitoes. Such information will be needed to inform decision-making regarding the location, design, and content of interventions to be implemented and evaluated to reduce the burden of these pathogens.

The latest form for Communities Organized to Prevent Arboviruses: Assessment of Knowledge, Attitudes, and Vector Control Practices and Sero-Prevalence and Incidence of Arborviral Infection in Ponce, Puerto Rico (COPA) expires 2022-03-31 and is listed under ICR 201812-0920-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1254 COVID-19 Case Follow-Up Questionnaire	Form and Instruction
Form 0920-1254 AIS Questionnaire	Form and Instruction
Form 0920-1254 AIS Text Message	Form and Instruction
Form 0920-1254 Mobility Questionnaire	Form and Instruction
Form 0920-18ANU Specimen Collection	Form and Instruction
Form 0920-18ANU Vector Control Intervention Questionnaire	Form and Instruction
Form 0920-18ANU Knowledge, Attitudes, and Practices Individual Questionnaire	Form and Instruction
Form 0920-18ANU Individual Questionnaire	Form and Instruction
Form 0920-18ANU Household Representative Questionnaire	Form and Instruction
Attachment 8_COPA questionnaires dropped questions.pdf	Supplementary Document
Attachment 6_Consent summary.pdf	Supplementary Document
Attachment 2_Consent Forms - All Ages.pdf	Supplementary Document
Attachment 7_IRB approval letter 171110-VR_IRB.pdf	Supplementary Document
COPA Signed PIA.pdf	Supplementary Document
Attachment 4_60 day FRN (2021-25449).pdf	Supplementary Document
SSB COPA Revision 0920-1254.docx	Supporting Statement B
SSA COPA Revision 0920-1254.docx	Supporting Statement A
10. COPA Flyer.pdf	Supplementary Document
1. Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document
COVID-19 Case Follow-Up Questionnaire	Form and Instruction
AIS Questionnaire	Form and Instruction
AIS Text Message	Form and Instruction
Mobility Questionnaire	Form and Instruction
Specimen Collection	Form and Instruction
Vector Control Intervention Questionnaire	Form and Instruction
Knowledge, Attitudes, and Practices Individual Questionnaire	Form and Instruction
Individual Questionnaire	Form and Instruction
Household Representative Questionnaire	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
202204-0920-005	Reinstatement with change of a previously approved collection	2022-04-08		Approved without change
201812-0920-004	Existing collection in use without an OMB Control Number	2019-01-07		Approved with change

OMB Details

Household Representative Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-18ANU	Household Representative Questionnaire	NA	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.