Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
supporting statement A foodborne illness outbreak investigation survey 12042018.docx	Supporting Statement A	Uploaded 2018-12-04	Available
supporting statement B foodborne illness outbreak investigation survey 09052018.docx	Supporting Statement B	Uploaded 2018-10-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233630	Non-respondents: Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners	Other-non-response place holder	New
233629	Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners	Other-web survey	New

ICR Details

OMB Control No: 0583-0175	ICR Reference No: 201810-0583-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: USDA/FSIS	Agency Tracking No:
Title: Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/04/2019
	Date Received in OIRA: 12/14/2018
Terms of Clearance: Approved consistent with the understanding that the forms and instructions will display the OMB control number, expiration date, and public burden statement.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved
Responses	112	0	0
Time Burden (Hours)	19	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: FSIS intends to collect information from state and territorial government partners on ways to strengthen collaborative response to illness outbreaks associated with FSIS-regulated food products. The purpose of this information collection is to inform FSIS partner outreach efforts in order to effectively investigate and prevent foodborne illnesses.

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Authorizing Statute(s): US Code: 21 USC 451, et seq. Name of Law: PPIA
   US Code: 21 USC 1031, et seq. Name of Law: EPIA
   US Code: 21 USC 601, et seq. Name of Law: FMIA
  

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:
	83 FR 40214	08/14/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 64100	12/13/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners
Non-respondents: Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

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ICR Summary of Burden

table that charts list 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	112	0	0	112	0	0
Annual Time Burden (Hours)	19	0	0	19	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection with 19 burden hours.

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Annual Cost to Federal Government: $3,150

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: 12/14/2018

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