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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Cyclosporiasis National Hypothesis Generating Questionnaire	Form and Instruction	Modified	Available
Att F_Research Determination.docx	Supplementary Document	Uploaded 2020-06-02	Available
Att C_CNHGQ - Data Elements 2020.xlsx	Supplementary Document	Uploaded 2020-06-02	Available
Att B_60 day FRN.pdf	Supplementary Document	Uploaded 2020-06-02	Available
Att A_PHSA.PDF	Supplementary Document	Uploaded 2020-06-02	Available
SSB CNHGQ Revision 05042020_09292020v2.docx	Supporting Statement B	Uploaded 2020-09-29	Available
SSA CNHGQ Revision 05042020.docx	Supporting Statement A	Uploaded 2020-06-02	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226341	Cyclosporiasis National Hypothesis Generating Questionnaire	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-1198	ICR Reference No: 202005-0920-009
Status: Active	Previous ICR Reference No: 201803-0920-019
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-18XJ
Title: Use of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) During Investigations of Foodborne Disease Clusters and Outbreaks
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: 09/30/2020
	Date Received in OIRA: 06/02/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	36 Months From Approved	09/30/2020
Responses	2,500	0	1,000
Time Burden (Hours)	1,875	0	767
Cost Burden (Dollars)	46,838	0	0

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Abstract: The goal of the Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) is to improve consistency of data collection (of pertinent exposure variables for Cyclospora), and thereby increase the likelihood that future outbreaks of cyclosporiasis will be recognized and that vehicles/sources will be identified (implicated).

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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:
	85 FR 10698	02/25/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 33683	06/02/2020
Did the Agency receive public comments on this ICR? No

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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
Cyclosporiasis National Hypothesis Generating Questionnaire	n/a, n/a	Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) (electronic submission) ,   Cyclosporiasis National Hypothesis Generating Questionnaire (CNHGQ) (fax submission)

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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	2,500	1,000	0	1,500	0	0
Annual Time Burden (Hours)	1,875	767	0	1,108	0	0
Annual Cost Burden (Dollars)	46,838	0	0	46,838	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: There is an increase in the burden estimate due to an expected increase in the number of reported cases.

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Annual Cost to Federal Government: $7,137

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)? Yes

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: 06/02/2020

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