Information Collection Request

NAHMS Emergency Epidemiologic Investigations

ICR 201403-0579-005 · OMB 0579-0376 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VS 17-5 NAHMS Emergency Highly Pathogenic Avian Influenza Epidemiologic Investigation Form New Available
Form NAHMS 300 NAHMS Emergency Epidemiologic Investigations Form and Instruction Removed Available
Form Questionnaire A - Questionnaire A - F Form and Instruction Modified Available
APHIS 71 8-13-14.xlsx Supplementary Document Uploaded 2014-08-13 Available
Part A (2).doc Supporting Statement A Uploaded 2014-08-05 Available
APHIS 79 EEI 2014-F 3.7.14.xlsx Supplementary Document Uploaded 2014-07-10 Available
Part B (2).docx Supporting Statement B Uploaded 2014-07-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
216037 NAHMS Emergency Highly Pathogenic Avian Influenza Epidemiologic Investigation Form New
215505 Burkholderia Pseudomallei Release Other-Questionaire New
204005 NAHMS Emergency Epidemiologic Investigations Form and Instruction Removed
197813 NAHMS Emergency Epidemiologic Investigations - Non Responses Other-Place Holder Modified
197812 Questionnaire A - F Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 11/30/2014
8,000 0 4,000
6,077 0 3,175
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 8,000 4,000 0 0 4,000 0
Annual Time Burden (Hours) 6,077 3,175 0 0 2,902 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No