ICR Documents

Document Date Uploaded
EEI_GenICR_SupSta A_FINAL.docx 01/15/2020

Document Date Uploaded
EEI GenICR_Sup St B.docx 01/15/2020

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 60dy191011 Published_2019-19019.pdf Supplementary Document 01/15/2020
Att C - Steps to Conduct Emergency Epidemiology Investigation Attach C_ Steps Conduct Emer Epi Invest.docx Supplementary Document 10/13/2016
Att D - Request for Approval Attach D_Request for Approval.docx Supplementary Document 11/20/2019
Att E - Burden Memo Attach E _Burden Memo.docx Supplementary Document 10/13/2016
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 Attach G _Emer Epi Invest_IRB Letter.pdf Supplementary Document 11/20/2019
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
Appx 1: Burden Memos (4th Qtr Oct-Dec 2019) Appendix 1. Burden Memos.pdf Supplementary Document 02/12/2020
Appx 1_Burden Memo Appendix 1. Burden Memos.pdf Supplementary Document 04/07/2020
App 2_Data Collections Forms Appendix 2. Data Collection Forms.pdf Supplementary Document 04/15/2020
EEIDC 4th Quarter (October 1, 2019 - December 31, 2019) 0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change 02/12/2020
EEIDC 1st Quarter (Janaury 1, 2020 - March 31, 2020) 0920-1011 Non-Substantive Change Request Memo.docx Justification for No Material/Nonsubstantive Change 04/07/2020
Change Request Justification - Burden Hour Increase 01SEP2020 Change Request 8.24.2020.docx Justification for No Material/Nonsubstantive Change 09/01/2020

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