OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Emergency Package III: Persistence of Zika virus in semen and urine of adult men with confirmed Zika virus infection

OMB 0920-1109 · HHS/CDC.

OMB 0920-1109

Latest Forms, Documents, and Supporting Material

Document Name
Follow-Up Survey Form and Instruction
Introductory Survey Form and Instruction
0920-1109 non-sub change request.docx Justification for No Material/Nonsubstantive Change
Att. L -- Phone script from State health department.docx Supplementary Document
Att. K -- Letter from state health department.docx Supplementary Document
Att. J2 -- IRB Amendment.docx Supplementary Document
SSA zika emergency III 28MAR2016.docx Supporting Statement A
Att. J -- IRB approval.docx Supplementary Document
Att. I -- Thank You and Test Results.docx Supplementary Document
Att. H -- FAQs.docx Supplementary Document
Att. G -- General Instructions.docx Supplementary Document
Att. F -- Copy of Consent Form.docx Supplementary Document
Att. E -- Instructions for Sample Collection.docx Supplementary Document
Att. B -- 60-Day FRN.docx Supplementary Document
Att. A -- Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Emergency request memo to OMB.pdf Supplementary Document
SSB zika emergency III 12APR2016.docx Supporting Statement B
Follow-Up Survey Form and Instruction
Introductory Survey Form and Instruction

All Historical Document Collections

201604-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-04-13
201603-0920-011 Approved without change	New collection (Request for a new OMB Control Number)	2016-03-28