OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Human Influenza Surveillance of Health Care Centers in the United States and Taiwan

OMB 0925-0715 · HHS/NIH.

OMB 0925-0715

Latest Forms, Documents, and Supporting Material

Document Name
Form 1a Form1a Screening and Enrollment Form and Instruction
ATTACHMENT 27 - 7 Day Emergency Federal Register Notice.pdf Supplementary Document
Attachment 26_HIPPA Waiver.pdf Supplementary Document
Attachment 25_Manual Operating Procedure_CGMH.docx Supplementary Document
Attachment 24_Manual Operating Procedures JHU.docx Supplementary Document
Attachment 23_Appointment Reminder Card_CGMH.docx Supplementary Document
Attachment 22_Appointment Reminder Card JHU.docx Supplementary Document
Attachment 2_Clinical Protocol 14-0076_IRB Approved.docx Supplementary Document
ATTACHMENT 1 - Memo Requesting Emergency Exemption.doc Supplementary Document
JHCEIRS_Statement B 0416_revised_MD_clean.docx Supporting Statement B
JHCEIRS_Statement A 0416_revised_MD2_clean.docx Supporting Statement A
Form1a Screening and Enrollment Form and Instruction

All Historical Document Collections

201504-0925-005

Approved without change

New collection (Request for a new OMB Control Number)

2015-04-22