Information Collection

Burkholderia Investigation_LA

IC 214996 under ICR 201504-0920-005 · OMB 0920-1011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Burkholderia Investigation_LA	Form and Instruction
Risk Assessment for Primate Research Center Employees an Appendix 1 Risk assessment_Burkholderia_LA.docx	Form and Instruction
GenIC Request Form - EEI Generic ICR_Burkholderia_LA.docx GenIC Request for Approval	IC Document
FW URGENT 0920-1011 GenIC Request 2015006-012 Burkholderia_LA.msg 0920-1011 GenIC Request	IC Document
LOI_Burkholderia_LA.pdf LOI	IC Document

IC Title:

Burkholderia Investigation_LA

Agency IC Tracking Number:

IC Status: Unchanged

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 and Instruction	None	Risk Assessment for Primate Research Center Employees and Inspectors	Appendix 1 Risk assessment_Burkholderia_LA.docx	None	No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: 09-20-0113, Epidemic Investigation Case Records

FR Citation: 51 FR 42466

Number of Respondents: 310

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	310	310
Annual IC Time Burden (Hours)	103	103
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request for Approval	GenIC Request Form - EEI Generic ICR_Burkholderia_LA.docx	02/12/2015
0920-1011 GenIC Request	FW URGENT 0920-1011 GenIC Request 2015006-012 Burkholderia_LA.msg	02/12/2015
LOI	LOI_Burkholderia_LA.pdf	02/13/2015

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