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

View Information Collection (IC)

Undetermined sources, modes of transmission, risk factors, and health outcomes for Zika virus infection - Brazil, 2016
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Survey Questionnaire Appendix 1. Survey Questionnaire.doc NA No   Paper Only
Form NA Chart Abstraction Appendix 2. Chart Abstraction.doc NA No   Paper Only

Health Illness Prevention

09-20-0113 - Epidemic Investigation Case Records  51 FR 42466

685 0
   
Individuals or Households
 
   0 %

  Requested 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 685 0 0 0 0 685
Annual IC Time Burden (Hours) 320 0 0 0 0 320
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter of Invitation - Brazil Letter of Invitation_Brazil.pdf 02/11/2016
Burden Memo Request Email Burden Memo Zika_Brazil.msg 02/11/2016
Emergency GenIC Request - Brazil 2016009-XXX Zika_Brazilv2.docx 02/11/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.