OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Enhanced surveillance for cases linked to a multistate outbreak of multidrug-resistant Campylobacter infections linked to contact with pet store puppies

OMB 0920-1261 · HHS/CDC.

OMB 0920-1261

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-XXXX DOG EXPOSURE QUESTIONNAIRE - State and Local Health Department Staff Form and Instruction
Form 0920-XXXX DOG EXPOSURE QUESTIONNAIRE - General Public Form and Instruction
Authorizing Legislation.pdf Supplementary Document
4. Non-research determination.pdf Supplementary Document
5. Canine Exposure Supplemental Questionnaire.pdf Supplementary Document
Emergency Review Request Memo - signed.pdf Supplementary Document
SUPP~0GR.DOC Supporting Statement B
SUPP~IPY.DOC Supporting Statement A
DOG EXPOSURE QUESTIONNAIRE - State and Local Health Department Staff Form and Instruction
DOG EXPOSURE QUESTIONNAIRE - General Public Form and Instruction

All Historical Document Collections

201904-0920-006

Approved without change

New collection (Request for a new OMB Control Number)

2019-04-18