[NCEZID] 2022 Ebola Traveler Follow Up Evaluation

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1376 can be found here:

Documents and Forms

Document Name Document Type
[NCEZID] 2022 Ebola Traveler Follow Up Evaluation Form and Instruction
Risk Assessment and Post-Arrival Monitoring Outcome Repo Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx Form and Instruction
Risk Assessment and Post-Arrival Monitoring Outcome Repo Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx Form and Instruction
0920-1376 Risk Assessment and Post-Arrival Monitoring Outcome REDC Attachment A-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting_11.17.2022_FINAL.docx Form
0920-1376 Risk Assessment and Post-Arrival Monitoring Outcome REDC Attachment A-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting_11.17.2022_FINAL.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[NCEZID] 2022 Ebola Traveler Follow Up Evaluation	Agency IC Tracking Number:	0920-1376-23BE

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	Risk Assessment and Post-Arrival Monitoring Outcome Reporting Process for Persons with Travel History from Uganda	Attachment C-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting .docx	NA	Yes	Yes	Fillable Fileable
Form	0920-1376	Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting Process	Attachment A-Risk Assessment and Post-Arrival Monitoring Outcome REDCap Reporting_11.17.2022_FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	18,200	18,200
Annual IC Time Burden (Hours)	4,550	4,550
Annual IC Cost Burden (Dollars)	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.