VIBRIO ILLNESS INVESTIGATION REPORT

ICR 199307-0920-005

OMB: 0920-0322

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
111061
Migrated
ICR Details
0920-0322 199307-0920-005
Historical Active
HHS/CDC
VIBRIO ILLNESS INVESTIGATION REPORT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 09/08/1993
Retrieve Notice of Action (NOA) 07/06/1993
We have approved this new report of Vibrio-related illnesses with the following condition: NIH will submit an information correction workshe to remove the burden hours for the previous emergency report of Vibrio cases included under OMB number 0920-0008.
  Inventory as of this Action Requested Previously Approved
09/30/1996 09/30/1996
150 0 0
75 0 0
0 0 0

VIBRIO IS THE ORGANISM RESPONSIBLE FOR CHOLERA, A SEVERE, DEHYDRATING, DIARRHEAL ILLNESS. THE PURPOSE OF THIS INVESTIGATION IS TO COLLECT INFORMATION ON ILLNESS OCCURRING AS A RESULT OF INFECTION WITH VIBRIO SPECIES TO GAIN A BETTER UNDERSTANDING OF THE INCIDENCE, ETIOLOGY,_AND EPIDEMIOLOGY OF ALL VIBRIO-RELATED ILLNESSES OCCURRING IN THE U.S.

None
None


No

1
IC Title Form No. Form Name
VIBRIO ILLNESS INVESTIGATION REPORT

  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 150 0 0 150 0 0
Annual Time Burden (Hours) 75 0 0 75 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
07/06/1993


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