Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 New 4000 2000 0 Form and Instruction 0920-20MZ
EIP or State Health Dept Employee New 120 10 0 Form and Instruction 0920-20MZ
Occupational Health Nurses at Healthcare Facilities (no form) New 1200 300 0 Form 0920-20MZ
Total burden requested under this ICR: 5320 2310 0  
To view an IC, click on IC Title