Information Collection Request

Emerging Infections Program

ICR 201307-0920-003 · OMB 0920-0978 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
EIP_Part_B.docx Supporting Statement B Uploaded 2013-07-01 Repair queued
Att 20_FoodNet_PS_.xls Supplementary Document Uploaded 2013-07-01 Available
Att 19_Flu_Hosp_Project_Flow_Chart.docx Supplementary Document Uploaded 2013-06-28 Available
Att 18_ABCs_2012_Surveillance_Catchment.docx Supplementary Document Uploaded 2013-06-28 Available
Att 15_Nonresearch_Determination.pdf Supplementary Document Uploaded 2013-06-28 Available
Att 14_EIP_Principle_Investigators.docx Supplementary Document Uploaded 2013-06-28 Repair queued
Att 12_Flu_Hosp_Publications.docx Supplementary Document Uploaded 2013-06-28 Available
Att 11_FNDataRequest-Proposal_ActiveSurv.pdf Supplementary Document Uploaded 2013-06-28 Available
Att 10_CEA_Pilot2_Tool.pdf Supplementary Document Uploaded 2013-06-28 Available
Att 9_FNDataRequest_ActiveSurv_Variable_Definitions_.pdf Supplementary Document Uploaded 2013-06-28 Available
Att 2_EIP Published FRN.pdf Supplementary Document Uploaded 2013-06-28 Available
Att 1_Authorizing_Regulations.doc Supplementary Document Uploaded 2013-06-28 Available
EIP_Part_A.docx Supporting Statement A Uploaded 2013-07-01 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
207663 Yersinia Other-WORD New
207662 Vibrio Other-WORD New
207661 Shigella Other-WORD New
207660 Shiga toxin producing E. coli Other-WORD New
207659 Salmonella Other-WORD New
207658 Listeria monocytogenes Other-WORD New
207657 Cyclospora Other-WORD New
207656 Cryptosporidium Other-WORD New
207655 Campylobacter Other-WORD New
207654 Consent Form Other-WORD New
207653 Influenza Hospitalization Surveillance Project Vaccination Telephone Survey Other-WORD New
207652 Hemolytic Uremic Syndrome (HUS) Other-WORD New
207651 2011-12 FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form Other-WORD New
207650 2012 Legionellosis ABCs Case Report Other-WORD New
207649 ABCs Neonatal Infection Expanded Tracking Form Other-WORD New
207648 ABCs Invasive Pneumococcal Disease in Children Other-WORD New
207647 Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form Other-WORD New
207646 ABCs Case Report Form Other-WORD New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved
41,200 0 0
12,319 0 0
0 0 0





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 41,200 0 0 41,200 0 0
Annual Time Burden (Hours) 12,319 0 0 12,319 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No