Information Collection

Cyclosporiasis National Hypothesis Generating Questionnaire

IC 226341 under ICR 201703-0920-007 · OMB 0920-1198.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1198 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cyclosporiasis National Hypothesis Generating Questionnaire	Form and Instruction
Cyclosporiasis National Hypothesis Generating Questionna AttachmentD_Cyclosporiasis National Hypothesis Generating Questionnaire ....pdf	Form and Instruction
Cyclosporiasis National Hypothesis Generating Questionna AttachmentE_Cyclosporiasis National Hypothesis Generating Questionnaire ....pdf	Form and Instruction

IC Title:

Cyclosporiasis National Hypothesis Generating Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) - Screenshots	AttachmentD_Cyclosporiasis National Hypothesis Generating Questionnaire ....pdf	NA	Yes	Yes	Fillable Fileable
Form and Instruction	NA	Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) - PDF	AttachmentE_Cyclosporiasis National Hypothesis Generating Questionnaire ....pdf	NA	No		Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.