Standardized National Hypothesis Generating Questionnaire

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0997 National Hypothesis Generating Questionnaire	Form	Modified	Available
Standardized National Hypothesis Generating Questionnaire 0920_0997_Crosswalk_renewal_2019.docx	Supplementary Document	Uploaded 2020-05-12	Available
IRB determination.msg	Supplementary Document	Uploaded 2020-02-21	Available
Att E - Public Comment.pdf	Supplementary Document	Uploaded 2020-02-21	Available
SSB_ SNHGQ _FINAL.docx	Supporting Statement B	Uploaded 2020-02-21	Available
SSA_SNHGQ_FINAL.docx	Supporting Statement A	Uploaded 2020-02-21	Available
Att D - IRB Determination.pdf	Supplementary Document	Uploaded 2016-08-11	Available
Att B - Published 60-Day FRN (1).pdf	Supplementary Document	Uploaded 2020-01-28	Available
Att A - Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2016-08-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223816	National Hypothesis Generating Questionnaire	Form	Modified

ICR Details

OMB Control No: 0920-0997	ICR Reference No: 202001-0920-017
Status: Active	Previous ICR Reference No: 201608-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0997
Title: Standardized National Hypothesis Generating Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/13/2020
	Date Received in OIRA: 02/26/2020
Terms of Clearance: OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2023	36 Months From Approved	05/31/2020
Responses	4,000	0	4,000
Time Burden (Hours)	3,000	0	3,000
Cost Burden (Dollars)	0	0	0

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Abstract: Revisions are being made to better align this questionnaire with other existing questionnaires and to improve question comprehension. The goal of the Standardized National Hypothesis Generating Questionnaire (SNHGQ) is to define a core set of data elements to be used for hypothesis generation once a given situation is determined to be a “multistate foodborne outbreak investigation”. The SNHGQ will be used by federal, state, and local public health officials responsible for conducting interviews with reported cases of enteric disease in their jurisdiction in order to systematically assess core exposure elements among cases of enteric disease during multistate investigations.

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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:
	84 FR 55963	10/18/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 9778	01/20/2020
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
National Hypothesis Generating Questionnaire	0920-0997	Hypothesis Generating Questionnaire

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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	4,000	4,000	0	0	0	0
Annual Time Burden (Hours)	3,000	3,000	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: $3,564

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? No

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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: 02/26/2020

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