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Viral Hemorrhagic Fever Case Investigation Form (Guinea French)

IC 213607 under ICR 201501-0920-017 · OMB 0920-1033.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Viral Hemorrhagic Fever Case Investigation Form (Guinea French) 0920-15CN
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-15CN Attachment B_Viral Hemorrhagic Fever Case Investigation Form_Guinea_French Attachment B_Viral Hemorrhagic Fever Case Investigation Form_Guinea_French.pdf Yes No Fillable Printable

Health Illness Prevention

Ebola Emergency Investigation Case Records System Notice  51 FR 42466

4,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,000 0 0 0 0 4,000
Annual IC Time Burden (Hours) 1,333 0 0 0 0 1,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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