Undetermined source for Salmonella Infantis infections among detention center inmates - South Carolina, 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⚠️ Notice: This information collection may be referencing outdated material.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 for Salmonella Infantis infections among detention center inmates - South Carolina, 2016 Form and Instruction
Salmonella Infantis Infections among Detention Center In Appendix I_Inmate Interview Form_8 15 16.docx Form and Instruction
SC LOI_Signed_20160812.pdf Letter of Invitation - South Carolina IC Document
Burden Memo Email.msg Burden Memo Email IC Document
Appendix II_Infantis_MedChartForm_DRAFT_8 15 16.docx Medical Chart Abstraction Form IC Document
GenIC Request Form - EEI Generic ICR 16AUG2016.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	Undetermined source for Salmonella Infantis infections among detention center inmates - South Carolina, 2016	Agency IC Tracking Number:	0920-1011-16BAX

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	Salmonella Infantis Infections among Detention Center Inmates - Case Interview Form	Appendix I_Inmate Interview Form_8 15 16.docx	NA	No		Paper Only

Line of Business: Health

Subfunction: Illness Prevention

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

Number of Respondents: 300	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	300	300
Annual IC Time Burden (Hours)	225	225
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation - South Carolina	SC LOI_Signed_20160812.pdf	08/15/2016
Burden Memo Email	Burden Memo Email.msg	08/15/2016
Medical Chart Abstraction Form	Appendix II_Infantis_MedChartForm_DRAFT_8 15 16.docx	08/15/2016
GenIC Request	GenIC Request Form - EEI Generic ICR 16AUG2016.docx	08/16/2016

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