OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Emergency Package V: Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections

OMB 0920-1118 · HHS/CDC.

OMB 0920-1118

Latest Forms, Documents, and Supporting Material

Document Name
Telephone Interview of Cases and Controls Form and Instruction
Follow-Up Telephone Interview Form and Instruction
Initial Telephone Interview Form and Instruction
0920-1118 Non-sub Change Request 8 15 16.docx Justification for No Material/Nonsubstantive Change
0920-1118 Non-sub Change Request.docx Justification for No Material/Nonsubstantive Change
Statement A 24 JUN2016.revised.docx Supporting Statement A
Attachment H.Logic Model of Puerto Rico Zika Response Activities.pptx Supplementary Document
Attachment G.IRB determination letter for project 2.pdf Supplementary Document
Attachment F.Projet 1.IRB letter of determination.pdf Supplementary Document
Statement B 16JUN2016 FINAL.docx Supporting Statement B
Emergency Review Request Memo - Zika 5 SIGNED.pdf Supplementary Document
Att. B - Draft 60-Day FRN.docx Supplementary Document
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Telephone Interview of Cases and Controls Form and Instruction
Follow-Up Telephone Interview Form and Instruction
Initial Telephone Interview Form and Instruction

All Historical Document Collections

201608-0920-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-08-16
201607-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-07-14
201606-0920-019 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-06-28
201606-0920-008 Approved with change	New collection (Request for a new OMB Control Number)	2016-06-17