Information Collection Request

Investigation of a Cluster of Extensively Drug Resistant Shigellosis Associated with a Cruise Ship

ICR 202003-0920-004 · OMB 0920-1288 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix C - Survey Instrument 2 Form and Instruction New Available
Appendix B - Survey Instrument 1 Form and Instruction New Available
Appendix B - Survey Instrument 1 Form and Instruction New Available
NonResearchDetermination.pdf Supplementary Document Uploaded 2020-03-17 Available
NonResearchDetermination.pdf Supplementary Document Uploaded 2020-03-17 Available
SSA_ShigellaCruise_3.16.2020.docx Supporting Statement A Uploaded 2020-03-17 Available
SSB_ShigellaCruise_3.16.2020.docx Supporting Statement B Uploaded 2020-03-16 Available
Appendix A. Email Invitation3.5.2020.docx Supplementary Document Uploaded 2020-03-16 Available
20181228 EIWS PIA.pdf Supplementary Document Uploaded 2020-03-16 Available
Emergency Review Request Memo Shigella_RFK.pdf Supplementary Document Uploaded 2020-03-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
240760 Survey 2 - Confirmed Shigellosis Cases (Group 3) Form and Instruction NewAppendix C - Survey Instrument 2
240759 Survey 1 - Confirmed Shigellosis Cases (Group 2) Form and Instruction NewAppendix B - Survey Instrument 1
240758 Survey 1 - Cruise Ship Pssengers (Group 1) Form and Instruction NewAppendix B - Survey Instrument 1

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2020 3 Months From Approved
4,217 0 0
704 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Survey 1 - Confirmed Shigellosis Cases (Group 2) NA
Survey 1 - Cruise Ship Pssengers (Group 1) NA
Survey 2 - Confirmed Shigellosis Cases (Group 3) NA

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 4,217 0 0 4,217 0 0
Annual Time Burden (Hours) 704 0 0 704 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No