Cyclosporiasis National Hypothesis Generating Questionnaire

Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) during Investigations of Foodborne Disease Clusters and Outbreaks

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Cyclosporiasis National Hypothesis Generating Questionnaire Form and Instruction
Attachment 2. Crosswalk of Non-substantive changes to 2018 CNHGQ.DOCX Other-Reference document. Summary of
Cyclosporiasis National Hypothesis Generating Questionna Attachment 1. CNHGQ 2018 Revisions.docm Form and Instruction

Information Collection (IC) Details

IC Title:	Cyclosporiasis National Hypothesis Generating Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	n/a	Cyclosporiasis National Hypothesis Generating Questionnaire - FAX version - rev. Spring 2018	Attachment 1. CNHGQ 2018 Revisions.docm		Yes	Yes	Printable Only
Other-Reference document. Summary of changes to be implemented in May 2018.			Attachment 2. Crosswalk of Non-substantive changes to 2018 CNHGQ.DOCX		No		Printable Only

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 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	767	17	750
Annual IC Cost Burden (Dollars)	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.