Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Household Component - Biospecimen Collection (Day 0, 7 and 14) New 1440 120 0 Instruction
Household Component - Biospecimen Collection (Day 7 and 14) New 240 20 0 Instruction
Household Component - Household Study Form B Modified 240 20 0 Form 0920-1039
Household Component - Household Study Form B (Day 0, 7, and 14) New 1440 120 0 Form 0920-1039
Student Component - Biospecimen Collection (Day 0) Modified 300 25 0 Instruction
Student Component - Household Study Form A Modified 300 25 0 Form 0920-1039
Student Component - ORCHARDS Telephone Screen Modified 345 29 0 Form and Instruction 0920-1039
Student Component- Acute Respiratory Infection and Influenza Surveillance Form (Parents of >18) Modified 300 75 0 Form NA
Total burden requested under this ICR: 4605 434 0  
To view an IC, click on IC Title