Health Questionnaire

Factors Influencing the Transmission of Influenza

OMB: 0920-0888

IC ID: 196082

Information Collection (IC) Details

View Information Collection (IC)

Health Questionnaire
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form n/a Health Questionnaire for study "Factors Influencing the Transmission of Influenza" Attachment 5 - Health Questionnaire_2021-2-16.docx No   Paper Only

Health Illness Prevention

Occupational Health Epidemiological Studies and EEOICPA Records  76 FR 34706

90 0
   
Individuals or Households
 
   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 90 0 0 0 0 90
Annual IC Time Burden (Hours) 8 0 0 0 0 8
Annual IC Cost Burden (Dollars) 109 0 109 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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