Information Collection

Chikungunya_USVI

IC 211894 under ICR 201311-0920-016 · OMB 0920-1011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Document Name Document Type
INVITE Chikungunya in USVI_EpiAid letter of invitation (2014-06-10).pdf Other-WORD
0920-1011 GenIC Request Chikungunya_USVI.msg Other-E-mail
2014007-XXX Chikungunya_USVI.docx Other-WORD
CDC 56.31 A REV. 0 Dengue Case Investigation Report Appendix 1. Dengue Chikungunya Case Investigation Form.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Chikungunya_USVI	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Other-WORD			INVITE Chikungunya in USVI_EpiAid letter of invitation (2014-06-10).pdf	No	Paper Only
Form and Instruction	CDC 56.31 A REV. 06/2006	Dengue Case Investigation Report	Appendix 1. Dengue Chikungunya Case Investigation Form.pdf	No	Fillable Fileable Signable
Other-E-mail			0920-1011 GenIC Request Chikungunya_USVI.msg	No	Printable Only
Other-WORD			2014007-XXX Chikungunya_USVI.docx	No	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	5	5
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.