OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Reproductive Health Call-Back Survey (ZRHCS), PUERTO RICO 2017

OMB 0920-1188 · HHS/CDC.

OMB 0920-1188

Latest Forms, Documents, and Supporting Material

Document Name
Puerto Rico BRFSS Coordinator - Data submission Form and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Call Back Survey Form and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Recruitment Script Form and Instruction
60d FRN - ZRHCS 27APR2017.pdf Supplementary Document
SSB - BRFSS PR ZIka Call Back 6-26-2017_clean.docx Supporting Statement B
SSA - BRFSS PR Zika Call back_6-26-2017_clean.docx Supporting Statement A
Att 6 Non-research determination.pdf Supplementary Document
Att 2 BRFSS Jurisdictions at High Risk for Zika Cases_3-23-2017.docx Supplementary Document
Att 1 Authorizing Legislation - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
request memo Bauer.pdf Supplementary Document
Puerto Rico BRFSS Coordinator - Data submission Form and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Call Back Survey Form and Instruction
Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Recruitment Script Form and Instruction

All Historical Document Collections

201704-0920-008

Approved with change

New collection (Request for a new OMB Control Number)

2017-07-07