Undetermined risk factors and modes of transmission for Shigella sonnei infection among residents of Genesee and Saginaw Counties – Michigan, 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⚠️ Notice: This information collection may be referencing outdated material.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 and modes of transmission for Shigella sonnei infection among residents of Genesee and Saginaw Counties – Michigan, 2016 Form and Instruction
SHIGELLOSIS OUTBREAK CASE-CONTROL QUESTIONNAIRE - Gennes Appendix 1- Questionnaire.doc Form and Instruction
Letter of Invitation.pdf Letter of Invitation IC Document
Burden Memo.msg Burden Memo - Email IC Document
1 GenIC Request Form - EEI Generic ICR_v1.docx GenIC Request IC Document

Information Collection (IC) Details

IC Title:	Undetermined risk factors and modes of transmission for Shigella sonnei infection among residents of Genesee and Saginaw Counties – Michigan, 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	SHIGELLOSIS OUTBREAK CASE-CONTROL QUESTIONNAIRE - Gennessee/Saginaw Counties	Appendix 1- Questionnaire.doc	NA	No		Fillable Printable

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: 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)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation	Letter of Invitation.pdf	10/12/2016
Burden Memo - Email	Burden Memo.msg	10/12/2016
GenIC Request	1 GenIC Request Form - EEI Generic ICR_v1.docx	10/12/2016

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