OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Emergency Zika Package IV: Assessment of Contraceptive Use and Needs, Puerto Rico, 2016

OMB 0920-1114 · HHS/CDC.

OMB 0920-1114

Latest Forms, Documents, and Supporting Material

Document Name
Contraceptive Assessment Questionnaire Form and Instruction
Contraceptive Assessment Screen Form and Instruction
0920-1114 Non-sub Change Request.docx Justification for No Material/Nonsubstantive Change
SSB - Emergency Zika IV clean OMB 18MAY2016.docx Supporting Statement B
SSA - Emergency Zika IV clean.docx Supporting Statement A
Att. D - IRB Determination.PDF Supplementary Document
Emergency Request Memo_Zika IV_signed 5 16 2016.pdf Supplementary Document
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Contraceptive Assessment Questionnaire Form and Instruction
Contraceptive Assessment Screen Form and Instruction

All Historical Document Collections

201606-0920-020 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-06-29
201605-0920-008 Approved without change	New collection (Request for a new OMB Control Number)	2016-05-18