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

View Information Collection (IC)

Intercept Interviews with Travelers in Puerto Rico To Test Zika Prevention Messages 16ATO
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA NA No   Paper Only
Form and Instruction NA NA No   Paper Only

Health Public Health Monitoring

 

60 0
   
Individuals or Households
 
   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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 15 0 15 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Test Message Non-Pregnant INbound - English 06/29/2016
Test Message Non-Pregnant INbound - Spanish 06/29/2016
Test Message Zika Hotel Flyer - English 06/29/2016
Test Message Zika Hotel Flyer - Spanish 06/29/2016
Test Message Non-Pregnant OUTbound - English 06/29/2016
Test Message Non-Pregnant OUTbound - Spanish 06/29/2016
Test Message Enjoy Your Stap in Puerto Rico - Combined English/Spanish 06/29/2016
HMTS - Expedited Review Form 06/29/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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