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

View Information Collection (IC)

2018 Congenital Syphilis Study 0920-0840-18YY
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0840 NA No   Paper Only
Form and Instruction 0920-0840 NA No   Paper Only
Form and Instruction 0920-0840 NA No   Paper Only
Form and Instruction 0920-0840 NA No   Paper Only

Health Health Care Services

09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

220 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 220 0 220 0 0 0
Annual IC Time Burden (Hours) 220 0 220 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Recruitment Flyer 04/10/2018
Interview Consent Form 04/10/2018
Focus Group Consent Form 04/10/2018
Audio Consent Form 04/10/2018
UCSD IRB Approval Letter 04/10/2018
Tulane IRB Approval Letter 04/10/2018
Research Plan 04/10/2018
CDC Project Determination 04/10/2018
Privacy Impact Assessment 04/10/2018
Supporting Statement A 04/11/2018
Supporting Statement B 04/11/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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