View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Evaluating the Effectiveness of Ebola CARE Program 15GZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0932 Yes No Fillable Printable
Form and Instruction 0920-0932 Yes No Fillable Printable
Form and Instruction 0920-0932 Yes Yes Fillable Printable

Health Public Health Monitoring

Quarantine and Traveler Related Activities, Including Records for Contact Tracing Investigation and Notification under 42 CFR Parts 70 and 71  72 FR 70867

90 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 90 0 90 0 0 0
Annual IC Time Burden (Hours) 44 0 44 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Final CARE Program_ECT Statement A_12 10 14 12/10/2014
Final CARE Program_ECT Statement B_12 10 14 12/10/2014
Attachment B - 60 Day FRN 0920-0932 12/10/2014
Attachment E_Determination of Applicability of Human Subjects Regulation 12/10/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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