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 | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201504-0925-005 | New collection (Request for a new OMB Control Number) | 2015-04-22 | Approved without change |