Information Collection

Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

IC 233629 under ICR 202405-0583-001 · OMB 0583-0175.

Documents and Forms

Document Name Document Type
FSIS foodborne outbreak partner survey 10072021.docx Other-web survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Other-web survey			FSIS foodborne outbreak partner survey 10072021.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 190	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	190	190
Annual IC Time Burden (Hours)	64	64
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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