Screenshots of the 30-month Follow-up Survey (Version B
Assessment of a Preventive Service Program in the Context of a Zika Virus Outbreak in Puerto Rico
Att H-6 Patient Survey 30 mo Ver B Screen Shots
30-month Follow-up Survey for Z-CAN patients who did not complete the 18-month Follow-up Survey
OMB: 0920-1241
                        ⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1241 can be found here:
Document [pdf]
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pdf| File Type | application/pdf | 
| File Title | Screenshots_30moB_20180529.pdf | 
| Author | DVQ8 | 
| File Modified | 2018-05-30 | 
| File Created | 2018-05-30 |