Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline survey New 200 100 0 Form and Instruction 0920-25AU INITIAL CLINCAL AND SOCIAL SURVEY
Contact Tracing Survey New 100 25 0 Form 0920-25AU Contact Tracing Survey
Follow-up clinical survey New 1200 300 0 Form and Instruction 0920-25AU FOLLOW-UP CLINICAL SURVEY
Sexual Contact Interview form New 150 38 0 Form and Instruction 0920-25AU Sexual Contact Interview form
Symptom Diary New 1200 200 0 Form 0920-25AU Symptom Dairy
Total burden requested under this ICR: 2850 663 0  
To view an IC, click on IC Title