OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Zika Virus Associated Neurologic Illness Case Control Study in Puerto Rico

OMB 0920-1141 · HHS/CDC.

OMB 0920-1141

Latest Forms, Documents, and Supporting Material

Document Name
SEVERE NEUROLOGIC ILLNESS Questionnaire for Case/Control Form and Instruction
SEVERE NEUROLOGIC ILLNESS Chart Abstraction Questionnaire Form and Instruction
SSA Neuro PR emergency request_24OCT2016 FINAL.docx Supporting Statement A
Severe Neuro in PR_Consent Form_16Oct.docx Supplementary Document
Emergency Request Memo - CDC Zika Case-Control Study - Puerto Rico (003).pdf Supplementary Document
SSB Neuro PR Emergency_10-4-16.docx Supporting Statement B
Att. g -- IRB Letter for case control investigation.pdf Supplementary Document
Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
SEVERE NEUROLOGIC ILLNESS Questionnaire for Case/Control Form and Instruction
SEVERE NEUROLOGIC ILLNESS Chart Abstraction Questionnaire Form and Instruction

All Historical Document Collections

201610-0920-005

Approved without change

New collection (Request for a new OMB Control Number)

2016-10-24