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Cyclosporiasis National Hypothesis Generating Questionnaire
[CGH] Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) During Investigations of Foodborne Disease Clusters and Outbreaks
OMB: 0920-1198
IC ID: 226341
OMB.report
HHS/CDC
OMB 0920-1198
ICR 202309-0920-007
IC 226341
( )
Documents and Forms
Document Name
Document Type
Form 0920-1198
Cyclosporiasis National Hypothesis Generating Questionnaire
Form and Instruction
0920-1198 Cyclosporiasis National Hypothesis Generating Questionna
Attachment E. CNHGQ 2021_fillable.pdf
Form and Instruction
0920-1198 Cyclosporiasis National Hypothesis Generating Questionna
Attachment E. CNHGQ 2021_fillable.pdf
Form and Instruction
Attachment D. CNHGQ_2021_EpiInfoWebSurvey.pdf
Attachment D. CNHGQ_2021_EpiInfoWebSurvey
IC Document
Attachment D. CNHGQ_2021_EpiInfoWebSurvey.pdf
Attachment D. CNHGQ_2021_EpiInfoWebSurvey
IC Document
Attachment F. Determination of Non-Applicability of Human Subjects Regulations.pdf
Determination
IC Document
Attachment F. Determination of Non-Applicability of Human Subjects Regulations.pdf
Determination
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Cyclosporiasis National Hypothesis Generating Questionnaire
Agency IC Tracking Number:
0920-1198
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
0920-1198
Cyclosporiasis National Hypothesis Generating Questionnaire
Attachment E. CNHGQ 2021_fillable.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,500
0
0
0
0
2,500
Annual IC Time Burden (Hours)
1,875
0
0
0
0
1,875
Annual IC Cost Burden (Dollars)
0
0
-46,838
0
0
46,838
Documents for IC
Title
Document
Date Uploaded
Attachment D. CNHGQ_2021_EpiInfoWebSurvey
Attachment D. CNHGQ_2021_EpiInfoWebSurvey.pdf
09/14/2023
Determination
Attachment F. Determination of Non-Applicability of Human Subjects Regulations.pdf
09/14/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.