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Agenda
Reg Review
ICR
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 C - How to Use Generic Clearance
EEI GenICR 0920-13ZJ_Attach C_ Steps Conduct Emer Epi Invest_3_20_14.docx
Supplementary Document
03/25/2014
Att D - genIC Request Application
EEI_Attach D_Request for Approval_3_20_14.docx
Supplementary Document
03/25/2014
Att E - Burden Memo
EEI GenICR 0920-13ZJ_Attach E _Burden Memo_3-20-14.docx
Supplementary Document
03/25/2014
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
Step-by-step directions for using 0920-1011
EEI GenICR 0920-1011_Attach C_ Steps Conduct Emer Epi Invest_10_20_14.docx
Supplementary Document
10/29/2014
Request for approval template
EEI GenICR 0920-0111_Attach D_Request for Approval 9-16-2014.docx
Supplementary Document
10/29/2014
Burden memo template
EEI GenICR 0920-1011_Attach E _Burden Memo_9_16_2014.docx
Supplementary Document
10/29/2014
Inventory of ICs
Inventory.pdf
Supplementary Document
10/29/2014
Burden memo- MERS-CoV Air Travel
2014003-XXX_Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo - legionnaires AL
2014004-XXX Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo - Diarrhea Samoa
2014005-XXX Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo - Measles FSM
2014006-XXX Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo -Chicungunya USVI
2014007-XXX Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo - Chicungunya PR
2014008-XXX Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo - Ebola Guinea
2014010-XXX_Burden Memo.docx
Supplementary Document
10/29/2014
Burden memo - Respiratory illness CA
2014012-XXX_Burden Memo.docx
Supplementary Document
10/29/2014
Inventory of ICs - Y1Q3
Appendix 2. Data Collection Forms.pdf
Supplementary Document
03/03/2015
Burden memo - Y1Q3
Appendix 1. Burden Memos.pdf
Supplementary Document
03/03/2015
Inventory of ICs - Y1Q4
Appendix 2. Data Collection Forms.pdf
Supplementary Document
04/22/2015
Burden memo - Y1Q4
Appendix 1. Burden Memos.pdf
Supplementary Document
04/22/2015
Burden Memo Y2Q1
Appendix 1. Burden Memo.pdf
Supplementary Document
07/07/2015
Inventory of ICs Y2Q1
Appendix 2. Data Collection Forms.pdf
Supplementary Document
07/07/2015
Change Request Memo Y2Q1
0920-1011 Non-Substantive Change Request Memo_Y2Q1_07-02-2015.docx
Supplementary Document
07/07/2015
Change request memo Y2Q2
0920-1011 Non-Substantive Change Request Memo_Y2Q2_10-01-2015_Subm.docx
Supplementary Document
11/03/2015
Burden memo
Appendix 1. Burden Memo_0920-1011.pdf
Supplementary Document
11/03/2015
Inventory of ICs Y2Q2
Appendix 2. Data Collection Forms_0920-1011.pdf
Supplementary Document
11/03/2015
Burden Memo - Y2Q3
Appendix 1. Burden Memos.pdf
Supplementary Document
01/27/2016
Change Request Memo - Y2Q3
0920-1011 Non-Substantive Change Request Memo_Y2Q3_Subm 1-22-2016.docx
Supplementary Document
01/27/2016
Inventory of ICs - Y2Q3
Appendix 2. Data Collection Forms.pdf
Supplementary Document
01/27/2016
Change request memo
0920-1011 Non-Substantive Change Request Memo_revised.docx
Justification for No Material/Nonsubstantive Change
10/29/2014
Change request memo - Y1Q3
0920-1011 Non-Substantive Change Request Memo_Y1Q3_03-02-2015.docx
Justification for No Material/Nonsubstantive Change
03/03/2015
Change request memo - Y1Q4
0920-1011 Non-Substantive Change Request Memo_Y1Q4_04-15-2015.docx
Justification for No Material/Nonsubstantive Change
04/22/2015
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.