[NCEZID] B. multivorans Ice Machine Multistate Investigation

ICR 202502-0920-011

OMB: 0920-1430

Federal Form Document

Forms and Documents

Document Name	Status
Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified
Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified
Change Request Memo - EO14168_OMB No 0920-1430.docx Justification for No Material/Nonsubstantive Change	2025-02-26
Change Request Memo - EO14168_OMB No 0920-1430.docx Justification for No Material/Nonsubstantive Change	2025-02-26
Attachment 5-Human Subjects Determination.pdf Supplementary Document	2024-09-09
Attachment 5-Human Subjects Determination.pdf Supplementary Document	2024-09-09
Attachment 4-PIA REDCap.pdf Supplementary Document	2024-09-09
Attachment 4-PIA REDCap.pdf Supplementary Document	2024-09-09
Attachment 2-Published 60-day FRN.pdf Supplementary Document	2024-09-09
Attachment 2-Published 60-day FRN.pdf Supplementary Document	2024-09-09
Supporting Statement A_B multivorans_2024.8.21_final_final.docx Supporting Statement A	2024-11-06
Supporting Statement A_B multivorans_2024.8.21_final_final.docx Supporting Statement A	2024-11-06
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-09-09
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-09-09
Supporting Statement B_B multivorans 2024.docx Supporting Statement B	2024-09-09
Supporting Statement B_B multivorans 2024.docx Supporting Statement B	2024-09-09

IC Document Collections

IC ID	Document Title	Status
266503	Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified
266503	Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified