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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Undetermined sources and risk factors for a Rift Valley Fever Outbreak-Uganda, 2016
Agency IC Tracking Number:
16YC
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA
Risk Factor Questionnaire
Appendix 1. Risk Factor Questionnaire_FINAL.docx
NA
No
Paper Only
Form and Instruction
NA
Livestock Assessment Form
Appendix 2. Livestock Assessment Form_FINAL.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
09-20-0113 - Epidemic Investigation Case Records
FR Citation:
51 FR 42466
Number of Respondents:
750
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
750
0
750
0
0
0
Annual IC Time Burden (Hours)
375
0
375
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Letter of Invitation - MoH Uganda
LOI.pdf
03/24/2016
Burden Memo Email - RVFV Uganda, 2016
Burden Memo Email - RVFV Uganda.msg
03/24/2016
0920-1011 EEI Request - RVFV Uganda, 2016
2016013-XXX Rift Valley Fever_Uganda.docx
03/24/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.