Information Collection Request

FoodNet Non-0157 Shiga Toxin-Producing E.coli Study: Assessment of Risk Factors for Laboratory-Confirmed Infections and Characterization of Illnesses by Microbiological Characteristics

ICR 201105-0920-003 · OMB 0920-0905 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Control Questionna Control Questionnaire Form Modified Available
Form Case Questionnaire Case Questionnaire Form Modified Available
Supporting Statement B_11-2-11.doc Supporting Statement B Uploaded 2011-11-02 Available
Consent and assent forms for cases and controls_11-2-11.doc Supplementary Document Uploaded 2011-11-02 Available
(5) 5975 CDC IRB Approval 09072010.docx Supplementary Document Uploaded 2011-05-04 Available
60 day ecoli.pdf Supplementary Document Uploaded 2011-05-04 Available
(1) Attachment A Sec. 301 42 USC 241[1].pdf Supplementary Document Uploaded 2011-05-04 Available
OMB_NonO157 CaCo Supporting Statement_11-2-11.doc Supporting Statement A Uploaded 2011-11-02 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
197043 Control Questionnaire Form Modified
197042 Case Questionnaire Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2014 36 Months From Approved
644 0 0
268 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Case Questionnaire Case Questionnaire case Questionnaire
Control Questionnaire Control Questionnaire Control Questionnaire

table that charts list of burden
  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 644 0 0 644 0 0
Annual Time Burden (Hours) 268 0 0 268 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No