OMB control number

Persistence of Zika virus in semen and urine of adult men in the United States with confirmed Zika virus infection

OMB 0920-1139 · HHS/CDC.

OMB 0920-1139

Latest Forms, Documents, and Supporting Material

Document Name
Follow-Up Survey Form and Instruction
Introductory Survey Form and Instruction
SSB Zika USA Shedding Study_09 26 2016 OMB_SHedits092816.docx Supporting Statement B
SSA Zika USA Shedding Study_10042016 OMB.docx Supporting Statement A
Certificate_of_Translation_CDC_SPANISH_05 05 2016.pdf Supplementary Document
Att. J -- IRB approval.docx Supplementary Document
Att. L -- Phone script from state health department ESP.docx Supplementary Document
Att. L -- Phone script from State health department.docx Supplementary Document
Att. K -- Letter from state health department ESP.docx Supplementary Document
Att. K -- Letter from state health department.docx Supplementary Document
Att. I -- Thank You and Test Results ESP.docx Supplementary Document
Att. I -- Thank You and Test Results.docx Supplementary Document
Att. H -- FAQs ESP.docx Supplementary Document
Att. H -- FAQs.docx Supplementary Document
Att. G -- General Instructions ESP.docx Supplementary Document
Att. G -- General Instructions.docx Supplementary Document
Att. F -- Copy of Consent Form ESP.docx Supplementary Document
Att. F -- Copy of Consent Form.docx Supplementary Document
Att. E -- Instructions for sample collection ESP.docx Supplementary Document
Att. E -- Instructions for Sample Collection.docx Supplementary Document
Att. B2 -- Public Comment.pdf Supplementary Document
Att. B1 -- 60-day FRN.pdf Supplementary Document
Att. A -- Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Follow-Up Survey Form and Instruction
Introductory Survey Form and Instruction

All Historical Document Collections

201606-0920-018

Approved with change

New collection (Request for a new OMB Control Number)

2016-07-13