Information Collection Request

[NCEZID] EMERGENCY - B. multivorans Ice Machine Multistate Investigation

ICR 202404-0920-002 · OMB 0920-1430 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1430 can be found here:

Forms and Documents

Document	Type	Status	Availability
Burkholderia multivorans Outbreak Investigation Case Report Form	Form	New	Available
Burkholderia multivorans Outbreak Investigation Case Report Form	Form	New	Repair queued
Supporting Statement A_B multivorans.docx	Supporting Statement A	Uploaded 2024-04-04	Available
Supporting Statement A_B multivorans.docx	Supporting Statement A	Uploaded 2024-04-04	Repair queued
Attachment 4-PIA REDCap.pdf	Supplementary Document	Uploaded 2024-04-04	Available
Attachment 4-PIA REDCap.pdf	Supplementary Document	Uploaded 2024-04-04	Repair queued
Emergency Request Memo_B multivorans 2024 national call for cases dbj.pdf	Supplementary Document	Uploaded 2024-04-02	Available
Emergency Request Memo_B multivorans 2024 national call for cases dbj.pdf	Supplementary Document	Uploaded 2024-04-02	Repair queued
Attachment 5-Human Subjects Determination.pdf	Supplementary Document	Uploaded 2024-04-02	Available
Attachment 5-Human Subjects Determination.pdf	Supplementary Document	Uploaded 2024-04-02	Missing upstream
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2024-04-02	Repair queued
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2024-04-02	Repair queued
Supporting Statement B_B multivorans 2024 national call for cases.docx	Supporting Statement B	Uploaded 2024-04-02	Repair queued
Supporting Statement B_B multivorans 2024 national call for cases.docx	Supporting Statement B	Uploaded 2024-04-02	Missing upstream

IC Document Collections

IC ID	Collection	Type	Status	Form
266503	Burkholderia multivorans Outbreak Investigation Case Report Form	Form	New
266503	Burkholderia multivorans Outbreak Investigation Case Report Form	Form	New

ICR Details

Status	Active
Agency/Subagency	HHS/CDC
OMB Control No	0920-1430
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	0920-24EK
Date Submitted to OIRA	2024-04-04
Requested Expiration Date	2024-04-05