Information Collection Request
[NCEZID] B. multivorans Ice Machine Multistate Investigation
ICR 202502-0920-011 · OMB 0920-1430 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Burkholderia multivorans Outbreak Investigation Case Report Form |
Form | Modified | Available |
| Burkholderia multivorans Outbreak Investigation Case Report Form |
Form | Modified | Missing upstream |
 Change Request Memo - EO14168_OMB No 0920-1430.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-02-26 | Available |
| Change Request Memo - EO14168_OMB No 0920-1430.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-02-26 | Missing upstream |
 Attachment 5-Human Subjects Determination.pdf |
Supplementary Document | Uploaded 2024-09-09 | Available |
| Attachment 5-Human Subjects Determination.pdf |
Supplementary Document | Uploaded 2024-09-09 | Repair queued |
| Attachment 4-PIA REDCap.pdf |
Supplementary Document | Uploaded 2024-09-09 | Available |
| Attachment 4-PIA REDCap.pdf |
Supplementary Document | Uploaded 2024-09-09 | Repair queued |
| Attachment 2-Published 60-day FRN.pdf |
Supplementary Document | Uploaded 2024-09-09 | Available |
| Attachment 2-Published 60-day FRN.pdf |
Supplementary Document | Uploaded 2024-09-09 | Repair queued |
| Supporting Statement A_B multivorans_2024.8.21_final_final.docx |
Supporting Statement A | Uploaded 2024-11-06 | Available |
| Supporting Statement A_B multivorans_2024.8.21_final_final.docx |
Supporting Statement A | Uploaded 2024-11-06 | Repair queued |
| Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf |
Supplementary Document | Uploaded 2024-09-09 | Available |
| Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf |
Supplementary Document | Uploaded 2024-09-09 | Repair queued |
| Supporting Statement B_B multivorans 2024.docx |
Supporting Statement B | Uploaded 2024-09-09 | Available |
| Supporting Statement B_B multivorans 2024.docx |
Supporting Statement B | Uploaded 2024-09-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266503 |  Burkholderia multivorans Outbreak Investigation Case Report Form |
Form | Modified | |
| 266503 | Burkholderia multivorans Outbreak Investigation Case Report Form |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1430 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202408-0920-017 |
| Agency Tracking No | 0920-1430 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |