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Vision Exam
Zika Outcomes and Development of Infants and Children (ZODIAC) Investigation
OMB: 0920-1194
IC ID: 227555
OMB.report
HHS/CDC
OMB 0920-1194
ICR 201707-0920-007
IC 227555
( )
Documents and Forms
Document Name
Document Type
Vision Exam
Form and Instruction
Vision Exam
Att. 8B - Vision Exam.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Vision Exam
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
NA
Vision Exam
Att. 8B - Vision Exam.docx
NA
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0136 - Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
235
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
235
0
235
0
0
0
Annual IC Time Burden (Hours)
196
0
196
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.