OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

2022 Ebola Airport Entry Questionnaires

OMB 0920-1375 ยท HHS/CDC.

OMB 0920-1375

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Public Health Assessment For Travelers From Ebola Outbreak-Affected CountriesForm and Instruction
EVD Initial Screening QuestionsForm and Instruction
0920-1375 Change Request-2022 Ebola Airport Entry Questionnaires_10.14.2022_final.docx Justification for No Material/Nonsubstantive Change
SSA Emergency Clearance 2022 Ebola Entry Risk Assessment_10.6.2022.docxSupporting Statement A
SSB Emergency Clearance 2022 Entry Risk Questionnaire_10.6.2022.docxSupporting Statement B
Emergency Review Request Memo - 2022 Ebola Entry Risk Assessment-10.6.2022 (003).pdf Supplementary Document
Attachment F-IRB Non-Research Determination.pdf Supplementary Document
Attachment E-QARS PIA.pdf Supplementary Document
Attachment A2-42 CFR part 71.pdf Supplementary Document
Attachment A1-42 USC 264.pdf Supplementary Document
Public Health Assessment For Travelers From Ebola Outbreak-Affected Countries Form and Instruction
EVD Initial Screening Questions Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202210-0920-009 No material or nonsubstantive change to a currently approved collection 2022-10-19 Approved without change
202210-0920-002 New collection (Request for a new OMB Control Number) 2022-10-07 Approved with change