FoodNet Population Survey

Forms and Documents

Document Name	Status
FoodNet Survey Form	Modified
0920-1112 change request_20171011.docx Justification for No Material/Nonsubstantive Change	2017-10-17
0920-1112 change request_20161005.docx Justification for No Material/Nonsubstantive Change	2016-10-05
Attachment F. APHIR IGCE_FoodNet Population Survey RFTOP v2_05202015.docx Supplementary Document	2015-08-24
Attachment E. Protocol 1546 CDC Continuation Approval.pdf Supplementary Document	2015-08-24
Attachment C. Winnable battles letter.pdf Supplementary Document	2015-08-24
Attachment B 60 day notice.pdf Supplementary Document	2015-08-24
Attachment A Authorizing_Regulations_T42_section_241.doc Supplementary Document	2015-08-24
PopSurvey_SupportingStatement_B_04-11-2016 CLEAN.docx Supporting Statement B	2016-04-15
PopSurvey_SupportingStatement_A_04-11-2016 CLEAN.docx Supporting Statement A	2016-04-15

IC Document Collections

IC ID	Document Title	Status
217980	FoodNet Survey Form	Modified

ICR Details

OMB Control No: 0920-1112	ICR Reference No: 201710-0920-010
Status: Historical Active	Previous ICR Reference No: 201610-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 18CG
Title: FoodNet Population Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/08/2017
	Date Received in OIRA: 10/18/2017
Terms of Clearance: This ICR is approved consistent with an understanding that, because this collection is not designed to be nationally representative, CDC must always transparently articulate the limitations with respect to generalizability. In addition, consistent with OMB’s Memorandum M-13-13, CDC should be making de-identified data from FoodNet collections available to the public in a form that can be downloaded and analyzed. Subsequent clearances will be contingent on meeting these terms of clearance. Finally, any changes made as a result of the pilot study will need to be submitted as a non-substantive change prior to fielding the full survey.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	04/30/2019	04/30/2019
Responses	18,000	0	18,000
Time Burden (Hours)	6,000	0	6,000
Cost Burden (Dollars)	0	0	0

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Abstract: The FoodNet Population survey will be conducted in 10 states over 2 years. The objectives are to provide data to estimate the burden of acute diarrheal illness in the US and to assess the frequency of exposures commonly associated with foodborne infections. Information will be used to update burden estimates and information hypothesis leading to faster outbreak investigations. This Non-Substantive Change Request includes minor changes made to adapt the generic instrument to each mode. Changes made were to have language appropriate for the mode (such as a respondent taking a self-administered survey rather than having the survey administered by an interviewer) and to maintain consistency as much as possible across the modes. Additional materials are included for the Spanish translations of each document.

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Authorizing Statute(s): US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 34435	06/16/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 51274	08/24/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
FoodNet Survey	NA	FoodNet Pop Survey - 2017

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	18,000	18,000	0	0	0	0
Annual Time Burden (Hours)	6,000	6,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $564,462

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/18/2017

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