Information Collection Request
RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent; background-color: transparent; left: 250px; top:75px; width:1px; height:1px; color:black; overflow:hid
ICR 202101-0920-012 · OMB 0920-1011 · RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1011 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Appendix 1 Burden Memos.pdf |
Supplementary Document | Uploaded 2021-01-21 | Available |
| Appendix 2 Data Collection Forms.pdf |
Supplementary Document | Uploaded 2021-01-21 | Available |
 0920-1011 Non-Substantive Change Request Memo.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2021-01-21 | Available |
| Appendix 2. Data Collection Forms.pdf |
Supplementary Document | Uploaded 2020-12-11 | Available |
| Appendix 1. Burden Memos.pdf |
Supplementary Document | Uploaded 2020-12-11 | Available |
| 0920-1011 Non-Substantive Change Request Memo.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2020-12-11 | Repair queued |
| Change Request.Increase Respondents. 11.5.2020 (003).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2020-12-04 | Available |
| Change Request 8.24.2020.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2020-09-01 | Available |
| Appendix 2. Data Collection Forms.pdf |
Supplementary Document | Uploaded 2020-04-15 | Available |
| Appendix 1. Burden Memos.pdf |
Supplementary Document | Uploaded 2020-04-07 | Repair queued |
| 0920-1011 Non-Substantive Change Request Memo.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2020-04-07 | Repair queued |
| Appendix 1. Burden Memos.pdf |
Supplementary Document | Uploaded 2020-02-12 | Available |
| 0920-1011 Non-Substantive Change Request Memo.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2020-02-12 | Available |
| EEI_GenICR_SupSta A_FINAL.docx |
Supporting Statement A | Uploaded 2020-01-15 | Repair queued |
| EEI GenICR_Sup St B.docx |
Supporting Statement B | Uploaded 2020-01-15 | Available |
| EEI GenICR 0920-13ZJ_App 6_Online Survey Case Finding Questionnaire_11-06-2013.docx |
Supplementary Document | Uploaded 2013-11-20 | Available |
| EEI GenICR 0920-13ZJ_App 5_Phone Interview Questionnaire Patient_11-06-2013_Subm.docx |
Supplementary Document | Uploaded 2013-11-20 | Available |
| EEI GenICR 0920-13ZJ_App 4_Q Fever Person Interview Questionnaire_11-14-2013_Subm.docx |
Supplementary Document | Uploaded 2013-11-20 | Available |
| EEI GenICR 0920-13ZJ_App 3 _Hantav Pulm Synd Questionnaire_11-14-2013_Subm.docx |
Supplementary Document | Uploaded 2013-11-20 | Available |
| EEI GenICR 0920-13ZJ_App 2_GBS Case Questionnaire_11-14-2013_Subm.docx |
Supplementary Document | Uploaded 2013-11-20 | Repair queued |
| EEI GenICR 0920-13ZJ_App 1_Chart Abstract Form_11-14-2013_Subm.docx |
Supplementary Document | Uploaded 2013-11-20 | Repair queued |
| EEI GenICR 0920-13ZJ_Attach H_Biospecimen Storage Consent_11-06-2013_Subm.docx |
Supplementary Document | Uploaded 2013-11-20 | Repair queued |
| Attach G _Emer Epi Invest_IRB Letter.pdf |
Supplementary Document | Uploaded 2019-11-20 | Available |
 EEI Gen ICR 0920-13ZJ_Attach F_Epi Invest SORN_11-06-2013.doc |
Supplementary Document | Uploaded 2013-11-20 | Available |
| Attach E _Burden Memo.docx |
Supplementary Document | Uploaded 2016-10-13 | Repair queued |
| Attach D_Request for Approval.docx |
Supplementary Document | Uploaded 2019-11-20 | Repair queued |
| Attach C_ Steps Conduct Emer Epi Invest.docx |
Supplementary Document | Uploaded 2016-10-13 | Repair queued |
| 60dy191011 Published_2019-19019.pdf |
Supplementary Document | Uploaded 2020-01-15 | Available |
| EEI GenICR_0920-13ZJ_Attach A_Auth Legis Emer Epi Invest_11-06-2013_Subm.pdf |
Supplementary Document | Uploaded 2013-11-20 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|
ICR Details
| Status | RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b |
|---|---|
| Agency/Subagency | RegInfo.gov Technical Difficulties focusMethod = |
| OMB Control No | 0920-1011 |
| Type of Information Collection | RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b |
| Previous ICR Reference No | RegInfo.gov Technical Difficulties focusMethod = |
| Agency Tracking No | RegInfo.gov Technical Difficulties focusMethod = |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |