Zika Clinical Inquiries Database - State/Local Health Department

CDC Emergency Operations Center: Zika Related Clinical Inquiries

OMB: 0920-1159

IC ID: 222837

Information Collection (IC) Details

View Information Collection (IC)

Zika Clinical Inquiries Database - State/Local Health Department
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA 2016 Zika Virus Inquiry Log Att. C- Zika Clinical Inquiries Database.pdf NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

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

420 0
   
State, Local, and Tribal Governments
 
   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 420 0 420 0 0 0
Annual IC Time Burden (Hours) 105 0 105 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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