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Federal forms, ICRs, and supporting documents

Information Collection Request

[CGH] Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) During Investigations of Foodborne Disease Clusters and Outbreaks

ICR 202309-0920-007 · OMB 0920-1198 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-1198 Cyclosporiasis National Hypothesis Generating Questionnaire Form and Instruction Modified Repair queued
Attachment C. CNHGQ_data elements.xlsx Supplementary Document Uploaded 2023-09-14 Repair queued
Attachment F. Determination of Non-Applicability of Human Subjects Regulations.pdf Supplementary Document Uploaded 2023-09-14 Repair queued
Attachment A- Authorizing Legislation.pdf Supplementary Document Uploaded 2023-09-14 Missing upstream
CNHGQ Change justification_12_2021 revisions_final.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-01-13 Repair queued
Att F_Research Determination.docx Supplementary Document Uploaded 2020-06-02 Repair queued
Att C_CNHGQ - Data Elements 2020.xlsx Supplementary Document Uploaded 2020-06-02 Repair queued
Att B_60 day FRN.pdf Supplementary Document Uploaded 2020-06-02 Repair queued
Att A_PHSA.PDF Supplementary Document Uploaded 2020-06-02 Missing upstream
Supporting Statement B CNHGQ ExtensionClean.docx Supporting Statement B Uploaded 2023-09-14 Missing upstream
Supporting Statement A CNHGQ ExtensionClean.docx Supporting Statement A Uploaded 2023-09-21 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
226341 Cyclosporiasis National Hypothesis Generating Questionnaire Form and Instruction Modified
ICR Details
0920-1198 202309-0920-007
Received in OIRA 202112-0920-011
HHS/CDC 0920-1198
[CGH] Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) During Investigations of Foodborne Disease Clusters and Outbreaks
Extension without change of a currently approved collection   No
Regular 09/21/2023
  Requested Previously Approved
36 Months From Approved 09/30/2023
2,500 2,500
1,875 1,875
0 46,838
The goal of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) is to improve consistency of data collection (of pertinent exposure variables for Cyclospora), and thereby increase the likelihood that future outbreaks of cyclosporiasis will be recognized and that vehicles/sources will be identified (implicated).
US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None
Not associated with rulemaking
  88 FR 43350 07/07/2023
88 FR 62791 09/13/2023
No
1
IC Title Form No. Form Name
Cyclosporiasis National Hypothesis Generating Questionnaire 0920-1198 Cyclosporiasis National Hypothesis Generating Questionnaire
  Total Request 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 2,500 2,500 0 0 0 0
Annual Time Burden (Hours) 1,875 1,875 0 0 0 0
Annual Cost Burden (Dollars) 0 46,838 0 -46,838 0 0
No
No
$7,137
Yes Part B of Supporting Statement
    No
    No
No
No
Yes
No
Odion Clunis 770 488-0045 [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.
09/21/2023