ICR Documents

Supporting Statement A Document Date Uploaded EEI_GenICR_Sup St A_3_20_14.docx 03/25/2014 Supporting Statement B Document Date Uploaded EEI GenICR_Sup St B_3_20_14.docx 03/25/2014 Supplementary Documents Title Document Document Type Date Uploaded Att A - Authorizing Legislation EEI GenICR_0920-13ZJ_Attach A_Auth Legis Emer Epi Invest_11-06-2013_Subm.pdf Supplementary Document 11/20/2013 Att B - 60 day FRN EEI GenICR_0920-13ZJ_Attach B _Emer Epi Invest_Pub 60-day FRN_11-06-2013_Subm.pdf Supplementary Document 11/20/2013 Att F - Epidemic Investigation Case Records SORN EEI Gen ICR 0920-13ZJ_Attach F_Epi Invest SORN_11-06-2013.doc Supplementary Document 11/20/2013 Att G - IRB Letter EEI GenICR_0920-13ZJ_Attach G _Emer Epi Invest_IRB Letter_11-06-2013_Subm.pdf Supplementary Document 11/20/2013 Att H - Biospecimen Storal Consent Template EEI GenICR 0920-13ZJ_Attach H_Biospecimen Storage Consent_11-06-2013_Subm.docx Supplementary Document 11/20/2013 Appendix 1 - Example of Chart Abstraction EEI GenICR 0920-13ZJ_App 1_Chart Abstract Form_11-14-2013_Subm.docx Supplementary Document 11/20/2013 Appendix 2 - Example of GBS Questionnaire EEI GenICR 0920-13ZJ_App 2_GBS Case Questionnaire_11-14-2013_Subm.docx Supplementary Document 11/20/2013 Appendix 3 - Example of Hantavirus Questionnaire EEI GenICR 0920-13ZJ_App 3 _Hantav Pulm Synd Questionnaire_11-14-2013_Subm.docx Supplementary Document 11/20/2013 Appendix 4 - Example of Personal Interview Questionnaire EEI GenICR 0920-13ZJ_App 4_Q Fever Person Interview Questionnaire_11-14-2013_Subm.docx Supplementary Document 11/20/2013 Appendix 5 - Example of Phone Questionnaire EEI GenICR 0920-13ZJ_App 5_Phone Interview Questionnaire Patient_11-06-2013_Subm.docx Supplementary Document 11/20/2013 Appendix 6 - Example of Online Survey EEI GenICR 0920-13ZJ_App 6_Online Survey Case Finding Questionnaire_11-06-2013.docx Supplementary Document 11/20/2013 Att C - Step by Step How to Use the Generic Clearance EEI GenICR 0920-1011_Attach C_ Steps Conduct Emer Epi Invest_9_16_14.docx Supplementary Document 10/09/2014 Att D - Reqeust for Approval Form EEI GenICR 0920-0111_Attach D_Request for Approval 9-16-2014.docx Supplementary Document 10/09/2014 Att E - Burden Memo Format EEI GenICR 0920-1011_Attach E _Burden Memo_9_16_2014.docx Supplementary Document 10/09/2014 004-53-AL Burden Memo 2014004-XXX Burden Memo.docx Supplementary Document 10/09/2014 005-55-AmSamoa Burden Memo 2014005-XXX Burden Memo.docx Supplementary Document 10/09/2014 003-GA Burden Memo 2014003-XXX_Burden Memo.docx Supplementary Document 10/09/2014 006-57-FedMicronesia Burden Memo 2014006-XXX Burden Memo.docx Supplementary Document 10/09/2014 007-59-VI Burden Memo 2014007-XXX Burden Memo.docx Supplementary Document 10/09/2014 008-60-PR Burden Memo 2014008-XXX Burden Memo.docx Supplementary Document 10/09/2014 010-63-WHO Burden Memo 2014010-XXX_Burden Memo.docx Supplementary Document 10/09/2014 012-66-Refugee Burden Memo 2014012-XXX_Burden Memo.docx Supplementary Document 10/09/2014 MERS-CoV Aircraft Contact Investigation Appendix 7.1 MERS-CoV_Questionnaire for Passengers and Crew.docx Supplementary Document 10/09/2014 MERS-CoV Serology Assent Appendix 7.2 MERS-CoV_Serology Assent Form.docx Supplementary Document 10/09/2014 Legionnaires Disease Chart Abstraction Appendix 7.3 Legionnaires Disease_Chart Abstraction Form.doc Supplementary Document 10/09/2014 Gastroenteritis Hypothesis Generating Appendix 7.4 Gastroenteritis_Hypothesis Generating Questionnaire.docx Supplementary Document 10/09/2014 Measles Household Line Listing Appendix 7.5 Measles_Household Line Listing.docx Supplementary Document 10/09/2014 Dengue and Chikungunya Report Appendix 7.6 Dengue and Chikungunya_Case Report Form.pdf Supplementary Document 10/09/2014 Suspected Chikungunya Case Appendix 7.7 Chikungunya_Suspect Case Interview Form.docx Supplementary Document 10/09/2014 Chikungunya Household Interview Appendix 7.8 Chikungunya_Household Interview Form.docx Supplementary Document 10/09/2014 Chikungunya Individual Interview Appendix 7.9 Chikungunya_Individual Interview Form.docx Supplementary Document 10/09/2014 Chikungunya Case - Spanish Appendix 7.10 Chikungunya_Case Investigation Report (Spanish).docx Supplementary Document 10/09/2014 Viral Hemorhagic Fever Case Investigation Appendix 7.11 Ebola_Case Investigation Form.pdf Supplementary Document 10/09/2014 Viral Hemorhagic Fever Contact Tracing Appendix 7.12 Ebola_Contact Tracing Form.pdf Supplementary Document 10/09/2014 Respiratory Illness Cluster Case Investigation Appendix 7.13 Respiratory Illness_Case Investigation Form.pdf Supplementary Document 10/09/2014 Respiratory Illness Hospitalized Case Investigation Appendix 7.14 Respiratory Illness_Hospitalized Case Investigation Form.docx Supplementary Document 10/09/2014 Respiratory Illness Assent - English and Spanish Appendix 7.15 Respiratory Illness_Interview Assent Form.docx Supplementary Document 10/09/2014 Justification for change 0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change 10/09/2014 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received