OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

SimpleReport Mobile Application

OMB 0920-1336 · HHS/CDC.

OMB 0920-1336

Latest Forms, Documents, and Supporting Material

Document Name
Repeat Tests on Existing Users - Long Term Program Form
Input Patient Data and Test Result Reporting - Long Term Program Form
User Training - Long Term Program Form
Repeat Tests on Existing Users - SimpleReport Use Form
Input Patient Data and Test Result Reporting - SimpleReport Use Form
User Training - SimpleReport Use Form
Simple Report Application Emergency Request_03312021.docx Supplementary Document
Supporting Statement_- SimpleReportPRA.docx Supporting Statement A
Repeat Tests on Existing Users - Long Term Program Form
Input Patient Data and Test Result Reporting - Long Term Program Form
User Training - Long Term Program Form
Repeat Tests on Existing Users - SimpleReport Use Form
Input Patient Data and Test Result Reporting - SimpleReport Use Form
User Training - SimpleReport Use Form

All Historical Document Collections

202103-0920-012

Approved with change

Existing collection in use without an OMB Control Number

2021-04-01