Zika Virus Infection Questions for Zika Postpartum Emergency Response (ZPER) Survey

Emergency Zika Package: Zika Postpartum Emergency Response Survey, Puerto Rico, 2016

OMB: 0920-1127

IC ID: 222720

Information Collection (IC) Details

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Zika Virus Infection Questions for Zika Postpartum Emergency Response (ZPER) Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA Zika PostparEmergency Response (ZPER) Questionnaire Att B - Questionnaires_ZPER_072816_OMB clean.doc NA Yes Yes Fillable Fileable

Health Public Health Monitoring

0920-0136 - Epidemiologic Studies and Surveillance of Disease Problems  57 FR 62812

2,760 0
   
Individuals or Households
 
   50 %

  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 2,760 0 2,760 0 0 0
Annual IC Time Burden (Hours) 690 0 690 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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