Information Collection Request

[NCEZID] Contact Investigation Outcome Reporting Forms

ICR 202408-0920-006 · OMB 0920-0900 · Received in OIRA

Forms and Documents

Document	Type	Status	Availability
Form 0920-0900 Att G_Influenza Outbreak Enhanced Data Collection Form – Maritime	Form and Instruction	Modified	Available
Form 0920-0900 Att F_Varicella Outbreak Enhanced Data Collection Form - Maritime	Form	Modified	Available
Form 0920-0900 Att K_Rubella Aircraft Contact Investigation Outcome Reporting	Form	Modified	Missing upstream
Form 0920-0900 Att J_Measles Aircraft Contact Investigation Outcome Reporting Form	Form	Modified	Repair queued
Form 0920-0900 Att E_TB Maritime Contact Investigation Worksheet	Form	Modified	Available
Form 0920-0900 Att I_General Land Contact Investigation Outcome Reporting Form	Form	Modified	Missing upstream
Form 0920-0900 Att H_General Aircraft Contact Investigation Outcome Reporting Form	Form	Modified	Repair queued
Form 0920-0900 Att L_General Land Contact Investigation Outcome Reporting Form	Form	Modified	Available
0920-0900 SupSta B_FINAL.docx	Supporting Statement B	Uploaded 2024-08-16	Available
0920-0900 SupSta A_FINAL_081924.docx	Supporting Statement A	Uploaded 2024-08-20	Available
Att. M-QARS_PIA_Signed_2022-07-29.pdf	Supplementary Document	Uploaded 2024-08-12	Repair queued
Att. D Non-researach Determination.pdf	Supplementary Document	Uploaded 2024-08-12	Repair queued
Att. M-QARS_PIA.pdf	Supplementary Document	Uploaded 2024-08-12	Repair queued
Att. B-60 Day Federal Register Notice_0920-0900_6.4.2024.pdf	Supplementary Document	Uploaded 2024-08-12	Repair queued
Att. A3-42 CFR part 71 Authorizing Legislation.pdf	Supplementary Document	Uploaded 2024-08-12	Repair queued
Att. A2-42 CFR part 70 Authorizing Legislation.pdf	Supplementary Document	Uploaded 2024-08-12	Repair queued
Att. A1-Section 361 of the Public Health Service Act (42 USC 264).pdf	Supplementary Document	Uploaded 2024-08-08	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
231143	Att G_Influenza Outbreak Enhanced Data Collection Form – Maritime	Form and Instruction	Modified
231142	Att F_Varicella Outbreak Enhanced Data Collection Form - Maritime	Form	Modified
212222	Att K_Rubella Aircraft Contact Investigation Outcome Reporting	Form	Modified
197948	Att J_Measles Aircraft Contact Investigation Outcome Reporting Form	Form	Modified
197947	Att E_TB Maritime Contact Investigation Worksheet	Form	Modified
197946	Att I_General Land Contact Investigation Outcome Reporting Form	Form	Modified
197945	Att H_General Aircraft Contact Investigation Outcome Reporting Form	Form	Modified
197943	Att L_General Land Contact Investigation Outcome Reporting Form	Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-0900
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202111-0920-004
Agency Tracking No	0920-0900
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31