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Federal forms, ICRs, and supporting documents

Information Collection Request

Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) during Investigations of Foodborne Disease Clusters and Outbreaks

ICR 201703-0920-007 · OMB 0920-1198 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Cyclosporiasis National Hypothesis Generating Questionnaire Form and Instruction New Available
Attachment F. Determination of Non-Applicability of Human Subjects Regulations.docx Supplementary Document Uploaded 2017-04-11 Repair queued
AttachmentB_60-day Federal Register Notice.pdf Supplementary Document Uploaded 2017-04-10 Available
AttachmentA_CNHGQ_PHSA.PDF Supplementary Document Uploaded 2017-04-10 Available
Supporting Statement B CNHGQ (002).docx Supporting Statement B Uploaded 2017-04-10 Available
Supporting Statement A CNHGQ_FINAL 01SEP2017.docx Supporting Statement A Uploaded 2017-09-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
226341 Cyclosporiasis National Hypothesis Generating Questionnaire Form and Instruction New
ICR Details
0920-1198 201703-0920-007
Historical Active
HHS/CDC 17IM
Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) during Investigations of Foodborne Disease Clusters and Outbreaks
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/19/2017
Retrieve Notice of Action (NOA) 04/12/2017
  Inventory as of this Action Requested Previously Approved
09/30/2020 36 Months From Approved
1,000 0 0
750 0 0
0 0 0
Foodborne outbreaks of cyclosporiasis have been reported in the United States since the mid-1990s and have been linked to various types of fresh produce. It is likely that more cases (and outbreaks) occurred than were reported; in addition, because of insufficient data, many of the reported cases could not be directly linked to an outbreak or to a particular food vehicle. The Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) was developed to capture information from case-patients that is pertinent to Cyclospora and fresh produce vehicles of infection to aid in the investigation and detection of outbreaks.
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  81 FR 93937 12/22/2016
82 FR 16842 04/06/2017
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 750 0 0 750 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Submission of 0920-17IM - Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) during Investigations of Foodborne Disease Clusters and Outbreaks is a New ICR.
$7,137
Yes Part B of Supporting Statement
    No
    No
No
No
Yes
Uncollected
Jeffrey Zirger 404 639-7118 [email protected]
  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.
04/12/2017