[NCEZID] Risk factors, clinical course, presence and persistence of virus in various bodily fluids, and risk of sexual transmission among U.S. adults with Oropouche virus disease

ICR 202506-0920-008

OMB: 0920-1446

Federal Form Document

Forms and Documents

Document Name	Status
Form 0920-25AU Sexual Contact Interview form Form	Modified
Form 0920-25AU Contact Tracing Survey Form	Modified
Form 0920-25AU Symptom Diary Form	Modified
Form 0920-25AU Follow-up clinical survey Form	Modified
Form 0920-25AU Baseline survey Form	Modified
Attachment_11_Consent_sexual_interview.docx Supplementary Document	2025-06-18
Attachment_10_Consent_sample_collection.docx Supplementary Document	2025-06-18
Attachment_9_Consent_med_social.docx Supplementary Document	2025-06-18
Attachment_8_Background_info_FAQ.docx Supplementary Document	2025-06-18
Emergency Request Memo_OROV Response_10.25.24.docx Supplementary Document	2025-06-18
Att. 13 Privacy Impact Assessment-2.pdf Supplementary Document	2025-06-18
Att. 12 Human Subjects Determination.pdf Supplementary Document	2025-06-18
Att. 1 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2025-06-18
Att A_Explanation for Program Changes_0920-1446_non-sub_29Nov2024.docx Supplementary Document	2024-12-04
0920-1446 Change Request-2024 Oropouche Response_11.29.2024.docx Justification for No Material/Nonsubstantive Change	2024-12-04
Att. 13 Privacy Impact Assessment.pdf Supplementary Document	2024-10-25
Att. 13 Privacy Impact Assessment-2.pdf Supplementary Document	2024-10-25
Att. 12 Human Subjects Determination.pdf Supplementary Document	2024-10-25
Emergency Request Memo_OROV Response_10.25.24.docx Supplementary Document	2024-10-25
Att. 11 Script and consent for sexual partner interview and OROV testing .docx Supplementary Document	2024-10-24
Att. 9 Consent for medical and social information .docx Supplementary Document	2024-10-24
Att. 8 Background information and frequently asked questions for participants .docx Supplementary Document	2024-10-24
Supporting Statement B_OROV Response_Revised_June_12__2025_clean.docx Supporting Statement B	2025-06-17
Supporting Statement A_OROV Response_Revised_June_12_2025_clean.docx Supporting Statement A	2025-06-17
Att. 1 Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-10-24

IC Document Collections

IC ID	Document Title	Status
271899	Sexual Contact Interview form Form	Modified
271898	Contact Tracing Survey Form	Modified
271897	Symptom Diary Form	Modified
271896	Follow-up clinical survey Form	Modified
271895	Baseline survey Form	Modified