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

View Information Collection (IC)

Assessment of Healthcare Personnel Exposed to or Infected with SARS-CoV-2 0920-20MZ
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20MZ Yes Yes Fillable Fileable
Form and Instruction 0920-1296 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1296 NA Yes Yes Fillable Fileable
Form and Instruction 0920-1296 NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

4,000 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 4,000 0 0 0 0 4,000
Annual IC Time Burden (Hours) 2,133 0 0 0 0 2,133
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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