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Federal forms, ICRs, and supporting documents

Information Collection

Viral Hemorrhagic Fever Contact Listing Form (Senegal French)

IC 213616 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 Contact Listing Form (Senegal 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 I_Viral Hemorrhagic Fever Contact Listing Form_Senegal_French Attachment I_Viral Hemorrhagic Fever Contact Listing Form_Senegal_French.pdf Yes No Fillable Printable

Health Illness Prevention

 

500 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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 125 0 0 0 0 125
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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