Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Baseline survey Modified 200 100 0 Form and Instruction 0920-25AU
Form and Instruction 0920-1446
Contact Tracing Survey Modified 100 25 0 Form 0920-25AU
Form 0920-1446
Follow-up clinical survey Unchanged 1200 300 0 Form and Instruction 0920-25AU
Sexual Contact Interview form Modified 150 38 0 Form and Instruction 0920-25AU
Form and Instruction 0920-1446
Symptom Diary Unchanged 1200 200 0 Form 0920-25AU
Total burden requested under this ICR: 2850 663 0  
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