Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CDC SAMPLE VHF Jurisdiction Final Survey New 70 23 0 Form and Instruction 0920-25-0004
CDC SAMPLE VHF Jurisdiction Traveler Monitoring New 7280 607 0 Form and Instruction 0920-25-0004
Inital Screening Form New 54750 4563 0 Form 0920-25-0004
POE Public Health Risk Assessment Form New 5475 1825 0 Form 0920-25-0004
SAMPLE VHF Response Survey of Travelers New 5475 913 0 Form and Instruction 0920-25-0004
SAMPLE VHF Symptom Monitoring Daily Group Symptomatic Travelers New 11508 192 0 Form 0920-25-0004
SAMPLE VHF Symptom Monitoring Web Survey New 11508 958 0 Form and Instruction 0920-25-0004
SAMPLE VHF Symptom Monitoring Web Survey New 12894 1232 0 Form and Instruction 0920-25-0004
Sample VHF Symptom Monitoring Weekly Group New 14784 246 0 Form and Instruction 0920-25-0004
Total burden requested under this ICR: 123744 10559 0  
To view an IC, click on IC Title