OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Emergency Epidemic Investigation Data Collections - Expedited Reviews

ICR 201609-0920-019 · OMB 0920-1011 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2016-08-17 Available
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2016-08-17 Available
0920-1011 Non-Substantive Change Request Memo_Y3Q1_8-1-2016.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-08-17 Repair queued
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2016-04-27 Available
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2016-04-27 Available
0920-1011 Non-Substantive Change Request Memo_Y2Q4_4-1-2016.docx Justification for No Material/Nonsubstantive Change Uploaded 2016-04-27 Repair queued
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2016-01-27 Repair queued
0920-1011 Non-Substantive Change Request Memo_Y2Q3_Subm 1-22-2016.docx Supplementary Document Uploaded 2016-01-27 Available
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2016-01-27 Available
Appendix 2. Data Collection Forms_0920-1011.pdf Supplementary Document Uploaded 2015-11-03 Repair queued
Appendix 1. Burden Memo_0920-1011.pdf Supplementary Document Uploaded 2015-11-03 Available
0920-1011 Non-Substantive Change Request Memo_Y2Q2_10-01-2015_Subm.docx Supplementary Document Uploaded 2015-11-03 Available
0920-1011 Non-Substantive Change Request Memo_Y2Q1_07-02-2015.docx Supplementary Document Uploaded 2015-07-07 Repair queued
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2015-07-07 Repair queued
Appendix 1. Burden Memo.pdf Supplementary Document Uploaded 2015-07-07 Available
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2015-04-22 Available
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2015-04-22 Repair queued
0920-1011 Non-Substantive Change Request Memo_Y1Q4_04-15-2015.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-04-22 Available
0920-1011 Non-Substantive Change Request Memo_Y1Q3_03-02-2015.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-03-03 Repair queued
Appendix 1. Burden Memos.pdf Supplementary Document Uploaded 2015-03-03 Repair queued
Appendix 2. Data Collection Forms.pdf Supplementary Document Uploaded 2015-03-03 Repair queued
2014012-XXX_Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Repair queued
2014010-XXX_Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Available
2014008-XXX Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Available
2014007-XXX Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Repair queued
2014006-XXX Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Repair queued
2014005-XXX Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Repair queued
2014004-XXX Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Available
2014003-XXX_Burden Memo.docx Supplementary Document Uploaded 2014-10-29 Repair queued
Inventory.pdf Supplementary Document Uploaded 2014-10-29 Repair queued
EEI GenICR 0920-1011_Attach E _Burden Memo_9_16_2014.docx Supplementary Document Uploaded 2014-10-29 Repair queued
EEI GenICR 0920-0111_Attach D_Request for Approval 9-16-2014.docx Supplementary Document Uploaded 2014-10-29 Repair queued
EEI GenICR 0920-1011_Attach C_ Steps Conduct Emer Epi Invest_10_20_14.docx Supplementary Document Uploaded 2014-10-29 Repair queued
0920-1011 Non-Substantive Change Request Memo_revised.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-10-29 Repair queued
EEI GenICR_Supporting Statement B.docx Supporting Statement B Uploaded 2016-09-26 Available
EEI GenICR 0920-13ZJ_App 6_Online Survey Case Finding Questionnaire_11-06-2013.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 5_Phone Interview Questionnaire Patient_11-06-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 4_Q Fever Person Interview Questionnaire_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 3 _Hantav Pulm Synd Questionnaire_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Available
EEI GenICR 0920-13ZJ_App 2_GBS Case Questionnaire_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_App 1_Chart Abstract Form_11-14-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR 0920-13ZJ_Attach H_Biospecimen Storage Consent_11-06-2013_Subm.docx Supplementary Document Uploaded 2013-11-20 Repair queued
EEI GenICR_0920-13ZJ_Attach G _Emer Epi Invest_IRB Letter_11-06-2013_Subm.pdf Supplementary Document Uploaded 2013-11-20 Repair queued
EEI Gen ICR 0920-13ZJ_Attach F_Epi Invest SORN_11-06-2013.doc Supplementary Document Uploaded 2013-11-20 Available
EEI GenICR 0920-13ZJ_Attach E _Burden Memo_3-20-14.docx Supplementary Document Uploaded 2014-03-25 Repair queued
EEI_Attach D_Request for Approval_3_20_14.docx Supplementary Document Uploaded 2014-03-25 Repair queued
EEI GenICR 0920-13ZJ_Attach C_ Steps Conduct Emer Epi Invest_3_20_14.docx Supplementary Document Uploaded 2014-03-25 Available
EEI GenICR_0920-13ZJ_Attach B _Emer Epi Invest_Pub 60-day FRN_11-06-2013_Subm.pdf Supplementary Document Uploaded 2013-11-20 Available
EEI GenICR_0920-13ZJ_Attach A_Auth Legis Emer Epi Invest_11-06-2013_Subm.pdf Supplementary Document Uploaded 2013-11-20 Repair queued
EEI_GenICR_Supporting Statement A.docx Supporting Statement A Uploaded 2016-09-27 Available
IC Document Collections
IC IDCollectionTypeStatusForm
ICR Details
0920-1011 201609-0920-019
Historical Inactive 201608-0920-012
HHS/CDC 0920-1011
Emergency Epidemic Investigation Data Collections - Expedited Reviews
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 10/12/2016
Retrieve Notice of Action (NOA) 09/29/2016
  Inventory as of this Action Requested Previously Approved
03/31/2017 36 Months From Approved 03/31/2017
36,000 0 36,000
18,000 0 18,000
0 0 0
This Generic ICR requests extension of an approved ICR to conduct Emergency Epidemic Investigations. In response to external partner requests for assistance during outbreaks or other urgent events, EEI data collections aim to identify the agents, sources, modes of transmission, or risk factors to effectively implement rapid prevention and control measures. .
US Code: 42 USC 301 Name of Law: PHSA
  
None
Not associated with rulemaking
  81 FR 46675 07/18/2016
81 FR 66028 09/26/2016
No
0
No
No
$1,547,376
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/29/2016