OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Assessment of Interventions Intended to Protect Pregnant Women in Puerto Rico from Zika virus Infections

OMB 0920-1196 · HHS/CDC.

OMB 0920-1196

Latest Forms, Documents, and Supporting Material

Document Name
Follow-Up Telephone Interview Form and Instruction
Initial Telephone Interview Form and Instruction
Pregnant Women in PR SSA_FINAL 01SEP2017.docx Supporting Statement A
Statement B 2 MARCH 2017.docx Supporting Statement B
Att. E - IRB.pdf Supplementary Document
Att. F - Logic Model PR Activities.pdf Supplementary Document
Att. B1 - Public comment.pdf Supplementary Document
Att. B - 60-day FRN.pdf Supplementary Document
Att. A - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Follow-Up Telephone Interview Form and Instruction
Initial Telephone Interview Form and Instruction

All Historical Document Collections

201703-0920-002

Approved with change

Existing collection in use without an OMB Control Number

2017-04-12