Information Collection

Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact

IC 178369 under ICR 201612-0920-014 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 52.13 Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact Form
CDC 52.13 NORS - Foodborne, Person-to-Person, Animal Contact, Envi Att. A - NORS Form 52.13 Web 508.pdf Form
FoodborneOutbreak Form 5213 ReportingInstructions.pdf Foodborne Outbreak Reporting Instructions IC Document
NORS Form.pdf NORS Reporting Form IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 52.13	NORS - Foodborne, Person-to-Person, Animal Contact, Environmental Contamination, Unknown Transmission Mode	Att. A - NORS Form 52.13 Web 508.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,998	270	1,728
Annual IC Time Burden (Hours)	666	90	576
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Foodborne Outbreak Reporting Instructions	FoodborneOutbreak Form 5213 ReportingInstructions.pdf	01/17/2007
NORS Reporting Form	NORS Form.pdf	12/22/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.