Information Collection Request

[NCEZID] Enhanced surveillance of respiratory illness among people experiencing homelessness in Anchorage, Alaska

ICR 202211-0920-009 · OMB 0920-1399 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
CRF Symptom Screener Form and Instruction New Repair queued
Attachment 7_20220721_REDCap_PIA_Signed.pdf Supplementary Document Uploaded 2022-11-21 Missing upstream
Attachment 6_Consent Respiratory surveillance Alaska 25July2022.docx Supplementary Document Uploaded 2022-11-21 Missing upstream
Attachment 5_Protocol Respiratory surveillance Alaska 25July2022.docx Supplementary Document Uploaded 2022-11-21 Missing upstream
Attachment 4 080322SS-NR-signed.pdf Supplementary Document Uploaded 2022-11-21 Repair queued
Attachment 2_60dayPublished FRN 2022-11771.pdf Supplementary Document Uploaded 2022-11-21 Missing upstream
Attachment 1_Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2022-11-21 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2022-11-21 Repair queued
Supporting Statement A_final.docx Supporting Statement A Uploaded 2022-11-21 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
257029 CRF Symptom Screener Form and Instruction New
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CDC
OMB Control No0920-1399
Type of Information CollectionNew collection (Request for a new OMB Control Number)
Agency Tracking No0920-22FT
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31