OMB control number

SimpleReport Mobile Application

OMB 0920-1336 · HHS/CDC.

OMB 0920-1336

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

Historical document collections
Reference	Filing	Received	Concluded	Action
202103-0920-012	Existing collection in use without an OMB Control Number	2021-04-01		Approved with change