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Hypothesis Generating Questionnaire for PulseNet Cluster Code
Standardized National Hypothesis Generating Questionnaire
OMB: 0920-0997
IC ID: 209150
OMB.report
HHS/CDC
OMB 0920-0997
ICR 201608-0920-006
IC 209150
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0997 can be found here:
2023-06-27 - Reinstatement with change of a previously approved collection
2020-02-26 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form No form number
Hypothesis Generating Questionnaire for PulseNet Cluster Code
Form
No form number Hypothesis Generating Questionnaire for PulseNet Cluster
AttachmentC_SNHGQ questionnaire.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Hypothesis Generating Questionnaire for PulseNet Cluster Code
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Removed
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
No form number
Hypothesis Generating Questionnaire for PulseNet Cluster Code
AttachmentC_SNHGQ questionnaire.pdf
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Immunization Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
4,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
0
0
-4,000
0
0
4,000
Annual IC Time Burden (Hours)
0
0
-3,000
0
0
3,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.