OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Enhanced Surveillance for Histoplasmosis

OMB 0920-1230 · HHS/CDC.

OMB 0920-1230

Latest Forms, Documents, and Supporting Material

Document Name
Case Report Form for Histoplasmosis Enhanced Surveillance - Health Department Personnel Form and Instruction
Case Report Form for Histoplasmosis Enhanced Surveillance - Histoplasmosis Cases Form and Instruction
Att 4 - Nonresearch determination-signed.pdf Supplementary Document
Att 5 - Histoplasmosis enhanced surveillance protocol.docx Supplementary Document
Att 2 - 60-Day FRN - histoplasmosis enhanced surveillance.pdf Supplementary Document
Att 1 - Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Supporting Statement B - histoplasmosis enhanced surveillance.docx Supporting Statement B
Supporting Statement A - histoplasmosis enhanced surveillance.docx Supporting Statement A
Case Report Form for Histoplasmosis Enhanced Surveillance - Health Department Personnel Form and Instruction
Case Report Form for Histoplasmosis Enhanced Surveillance - Histoplasmosis Cases Form and Instruction

All Historical Document Collections

201802-0920-008

Approved without change

New collection (Request for a new OMB Control Number)

2018-03-13