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Undetermined risk factor for highly pathogenic avian influenza H5N1 among individuals exposed to infected birds – United States, 2022 0920-1011
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1011 Aggregate counts of persons exposed to highly pathogenic avian influenza (HPAI) Appendix 1. Aggregate counts of persons exposed to highly pathogenic avian influenza (HPAI).docx NA Yes Yes Fillable Fileable

Health Illness Prevention

Epidemic Investigation Case Records - SORN 09-20-0113   51 FR 42466

50 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 450 0 450 0 0 0
Annual IC Time Burden (Hours) 75 0 75 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template - 0920-1011_01JUL2022 1. GenIC Request Form - EEI Generic ICR Final.docx 07/01/2022
Burden Estimate Memo Burden Memo.docx 07/01/2022
CSTE Letter of Support CSTE HPAI H5N1 Epi Aid Letter of Support.pdf 07/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.