Undetermined source and risk factors for botulism among prisoners at a correctional facility - Mississippi, 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⚠️ Notice: This information collection may be referencing outdated material.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 source and risk factors for botulism among prisoners at a correctional facility - Mississippi, 2016 Form and Instruction
Questionnaire for Prison Outreak of Clostridium Botulinu Appendix 1. Interview Questionnaire.docx Form and Instruction
Letter of Invitation.pdf Letter of Invitation IC Document
Burden Memo Email.msg Burden Memo Email IC Document
2016018-XXX Botulism_MS.docx Emergency GenIC Request IC Document

Information Collection (IC) Details

IC Title:	Undetermined source and risk factors for botulism among prisoners at a correctional facility - Mississippi, 2016	Agency IC Tracking Number:	0920-1011-16ARK

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	Questionnaire for Prison Outreak of Clostridium Botulinum, June 2016	Appendix 1. Interview Questionnaire.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: 40	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	40	40
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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