OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

2022 Ebola Airport Entry Questionnaires

OMB 0920-1375 · HHS/CDC.

OMB 0920-1375

Latest Forms, Documents, and Supporting Material

Document Name
Public Health Assessment For Travelers From Ebola Outbreak-Affected Countries Form and Instruction
EVD Initial Screening Questions Form and Instruction
0920-1375 Change Request-2022 Ebola Airport Entry Questionnaires_10.14.2022_final.docx Justification for No Material/Nonsubstantive Change
SSA Emergency Clearance 2022 Ebola Entry Risk Assessment_10.6.2022.docx Supporting Statement A
SSB Emergency Clearance 2022 Entry Risk Questionnaire_10.6.2022.docx Supporting Statement B
Emergency Review Request Memo - 2022 Ebola Entry Risk Assessment-10.6.2022 (003).pdf Supplementary Document
Attachment F-IRB Non-Research Determination.pdf Supplementary Document
Attachment E-QARS PIA.pdf Supplementary Document
Attachment A2-42 CFR part 71.pdf Supplementary Document
Attachment A1-42 USC 264.pdf Supplementary Document
Public Health Assessment For Travelers From Ebola Outbreak-Affected Countries Form and Instruction
EVD Initial Screening Questions Form and Instruction

All Historical Document Collections

202210-0920-009 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-10-19
202210-0920-002 Approved with change	New collection (Request for a new OMB Control Number)	2022-10-07