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Communication Support for the National Center for Emerging and Zoonotic Infectious Diseases; Anthrax Materials Testing 0920-0572-20MU
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20MU Screening/Eligibility Form Attachment 1_CDC NCEZID_IDI screener_12-12-19_FINAL-revised V2.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MU Guide for Adults 65+ Attachment 2_CDC NCEZID_IDI Guide for Adults 65+_12-18-19_FINAL.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MU Guide for Parents Attachment 3_CDC NCEZID_IDI Guide for Parents_12-18-19_FINAL.docx Yes Yes Fillable Fileable
Form and Instruction 0920-20MU Guide for ESL Adults Attachment 4_CDC NCEZID_IDI Guide for ESL Adults_12-18-19_FINAL for submission.docx Yes Yes Fillable Fileable
Form 0920-0572 Anthrax Antibiotics & Children Fact Sheet Attachment 5_Anthrax Antibiotics and Children Fact Sheet.pdf Yes No Fillable Fileable
Form 0920-0572 Anthrax Get Vaccinated Fact Sheet Attachment 6_Anthrax Get Vaccinated Fact Sheet.pdf Yes No Printable Only
Form 0920-0572 Anthrax Pregnancy Fact Sheet Attachment 7_Anthrax Pregnancy Fact Sheet.pdf Yes No Printable Only
Form 0920-0572 Anthrax General Fact Sheet Attachment 8_Anthrax General Fact Sheet.pdf Yes No Printable Only
Form 0920-0572 Anthrax POD Fact Sheet Attachment 9_Anthrax POD Fact Sheet.pdf Yes No Printable Only

Health Illness Prevention

 

64 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 64 0 64 0 0 0
Annual IC Time Burden (Hours) 18 0 18 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Expedited Review Form HMTS Expedited Review Form_Attachment B_NCEZID IDIs_v2.docx 04/20/2020
Protocol CDC NCEZID Protocol_12-18-19_FINAL-revised V3.docx 04/20/2020
Determination of Non-applicability of Human Subjects Regulations 010220LM-NR-signed.pdf 04/20/2020
Expedited Review FORM CDC NCEZID_HMTS Expedited Review Form for IDIs_12-12-19_FINAL for submission v3.pdf 04/20/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.