OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCEZID] Enhanced surveillance of respiratory illness among people experiencing homelessness in Anchorage, Alaska

OMB 0920-1399 · HHS/CDC.

OMB 0920-1399

Latest Forms, Documents, and Supporting Material

Document Name
CRF Symptom Screener Form and Instruction
Non-substantive change_Respiratory Surveillance Alaska_Revised.10.18.23.docx Justification for No Material/Nonsubstantive Change
Project Protocol Respiratory surveillance Alaska. 5.25.23.Amended10.10.2023 - Clean.docx Supplementary Document
Attachment 7_20220721_REDCap_PIA_Signed.pdf Supplementary Document
Attachment 6_Consent Respiratory surveillance Alaska 25July2022.docx Supplementary Document
Attachment 5_Protocol Respiratory surveillance Alaska 25July2022_edited_final.docx Supplementary Document
Attachment 4 080322SS-NR-signed.pdf Supplementary Document
Attachment 2_60dayPublished FRN 2022-11771.pdf Supplementary Document
Attachment 1_Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document
Supporting Statement B_edited_final.docx Supporting Statement B
SSA_OIRA 4.28.23 - edited_final.docx Supporting Statement A
CRF Symptom Screener Form and Instruction

All Historical Document Collections

202310-0920-012 Approved with change	No material or nonsubstantive change to a currently approved collection	2023-11-01
202211-0920-009 Approved with change	New collection (Request for a new OMB Control Number)	2022-11-29