Information Collection

Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact

IC 178369 under ICR 201412-0920-014 · OMB 0920-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC 52.13 Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact	Form
CDC 52.13 Foodborne Disease Transmission, Person-to-Person, Animal Attachment D Foodborne Disease Transmission_Person to Person_Animal Contact (CDC 52.13).pdf	Form
FoodborneOutbreak Form 5213 ReportingInstructions.pdf Foodborne Outbreak Reporting Instructions	IC Document
NORS Form.pdf NORS Reporting Form	IC Document

IC Title:

Att D_Foodborne Disease Transmission Person-to-Person_Animal Contact

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 52.13	Foodborne Disease Transmission, Person-to-Person, Animal Contact	Attachment D Foodborne Disease Transmission_Person to Person_Animal Contact (CDC 52.13).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,728	1,728
Annual IC Time Burden (Hours)	576	576
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Foodborne Outbreak Reporting Instructions	FoodborneOutbreak Form 5213 ReportingInstructions.pdf	01/17/2007
NORS Reporting Form	NORS Form.pdf	12/22/2008

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