Standardized National Hypothesis Generating Questionnaire

ICR 201608-0920-006

OMB: 0920-0997

Federal Form Document

ICR Details
0920-0997 201608-0920-006
Historical Active 201310-0920-007
HHS/CDC
Standardized National Hypothesis Generating Questionnaire
Revision of a currently approved collection   No
Regular
Approved without change 02/28/2017
Retrieve Notice of Action (NOA) 10/13/2016
  Inventory as of this Action Requested Previously Approved
02/29/2020 36 Months From Approved 02/28/2017
4,000 0 4,000
3,000 0 3,000
0 0 0

The goal of this project is to define a core set of data elements to be used for hypothesis generation during multistate foodborne investigations. It will be used by federal, State, and local public health officials responsible for conducting interviews with reported cases of enteric diseases to systematically assess core exposure elements. This is a revision request with changes to the questionnaire to better align with existing questionnaires and improve question comprehension.

US Code: 42 USC 241 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  81 FR 40700 06/22/2016
81 FR 70683 10/13/2016
Yes

  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 4,000 4,000 0 0 0 0
Annual Time Burden (Hours) 3,000 3,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This is a revision request with changes to the questionnaire to better align with existing questionnaires and improve question comprehension.

$3,564
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 sxw2@cdc.gov

  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.
10/13/2016


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