Burkholderia Pseudomallei Release

NAHMS Emergency Epidemiologic Investigations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0579-0376 can be found here:

Documents and Forms

Document Name Document Type
2015 Burkholderia TNPRC questionnaire-F.docx Other-Questionaire
Burkholderia EEI Part B comments-F.docx Part B IC Document
Burkholderia 2015 APHIS 71.xls APHIS 71 used to calculate burden IC Document
Burkholderia EEI 2015 Part A-F.doc Part A IC Document

Information Collection (IC) Details

IC Title:	Burkholderia Pseudomallei Release	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 9 CFR 1-199 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionaire			2015 Burkholderia TNPRC questionnaire-F.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Part B	Burkholderia EEI Part B comments-F.docx	03/11/2015
APHIS 71 used to calculate burden	Burkholderia 2015 APHIS 71.xls	03/04/2015
Part A	Burkholderia EEI 2015 Part A-F.doc	03/12/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.