OMB control number

Emergency Zika Package II: Persistence of zika virus in body fluids and case-control investigation of etiologic agents associated with Guillain-Barré Syndrome

OMB 0920-1106 · HHS/CDC.

OMB 0920-1106

Latest Forms, Documents, and Supporting Material

Document Name
Viral Shedding Eligibility Form Form and Instruction
GBS Questionnaire - Cases and Controls Form and Instruction
GBS Chart Abstraction Questionnaire Form and Instruction
Zika Virus Shedding Questionnaire - Asymptomatic Form and Instruction
Zika Virus Shedding Questionnaire - Symptomatic Form and Instruction
SSA - Emergency Zika Package II_18MAR2016.docx Supporting Statement A
SSB - Emergency Zika Package II.docx Supporting Statement B
Att. O -- IRB approval for shedding study.pdf Supplementary Document
Att. N -- IRB Letter for case control investigation.pdf Supplementary Document
Att P -- shedding study flow chart.docx Supplementary Document
Att. M -- Shedding model coupon.docx Supplementary Document
Att. L -- Shedding protocol for specimen collection.docx Supplementary Document
Att. K -- Shedding counseling messages.docx Supplementary Document
Att. I -- Shedding consent forms for asymptomatic contacts.docx Supplementary Document
Att. H -- Shedding Consent Form.docx Supplementary Document
Att. E -- Case-control consent form 2.docx Supplementary Document
Att. D -- Case-control consent form.docx Supplementary Document
Att. B -- 60-Day FRN for Zika Emergency II.docx Supplementary Document
Att. A -- Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Emergency request memo -- Zika II.pdf Supplementary Document
Viral Shedding Eligibility Form Form and Instruction
GBS Questionnaire - Cases and Controls Form and Instruction
GBS Chart Abstraction Questionnaire Form and Instruction
Zika Virus Shedding Questionnaire - Asymptomatic Form and Instruction
Zika Virus Shedding Questionnaire - Symptomatic Form and Instruction

All Historical Document Collections

201603-0920-008

Approved with change

New collection (Request for a new OMB Control Number)

2016-03-18