Undetermined risk factors for E.coli O157 among visitors to a goat dairy--Connecticut, 2016

Emergency Epidemic Investigation Data Collections - Expedited Reviews

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Undetermined risk factors for E.coli O157 among visitors to a goat dairy--Connecticut, 2016 Form and Instruction
Festival A Interview Form Appendix 1_Interview Form_final.docx Form and Instruction
LOI.pdf Letter of Invitation IC Document
Burden Memo Email.msg Burden Memo Email IC Document
2016014-XXX E. Coli_CT.docx GenIC Request - Shiga Toxin producing E coli O157 - CT, 2016 IC Document

Information Collection (IC) Details

IC Title:	Undetermined risk factors for E.coli O157 among visitors to a goat dairy--Connecticut, 2016	Agency IC Tracking Number:	0920-1011

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Festival A Interview Form	Appendix 1_Interview Form_final.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0113 - Epidemic Investigation Case Records	FR Citation: 51 FR 42466

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation	LOI.pdf	03/25/2016
Burden Memo Email	Burden Memo Email.msg	03/25/2016
GenIC Request - Shiga Toxin producing E coli O157 - CT, 2016	2016014-XXX E. Coli_CT.docx	03/25/2016

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