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  3. OMB 0920-1336

OMB control number

SimpleReport Mobile Application

OMB 0920-1336 ยท HHS/CDC.

OMB 0920-1336

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Repeat Tests on Existing Users - Long Term ProgramForm
Input Patient Data and Test Result Reporting - Long Term ProgramForm
User Training - Long Term ProgramForm
Repeat Tests on Existing Users - SimpleReport UseForm
Input Patient Data and Test Result Reporting - SimpleReport UseForm
User Training - SimpleReport UseForm
Simple Report Application Emergency Request_03312021.docx Supplementary Document
Supporting Statement_- SimpleReportPRA.docxSupporting Statement A
Repeat Tests on Existing Users - Long Term Program Form
Input Patient Data and Test Result Reporting - Long Term Program Form
User Training - Long Term Program Form
Repeat Tests on Existing Users - SimpleReport Use Form
Input Patient Data and Test Result Reporting - SimpleReport Use Form
User Training - SimpleReport Use Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202103-0920-012 Existing collection in use without an OMB Control Number 2021-04-01 Approved with change

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