Information Collection

FoodNet Yersinia

IC 207663 under ICR 202011-0920-004 · OMB 0920-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:

Documents and Forms

Document Name Document Type
Att4_FoodNet Variable List 2021_20200904.xlsx Other-Variable list
0920-0978 Foodborne and DIarrheal Diseases Message Mapping Guide ( Att6_FDD_V1.0_MMG_FoodNet_only_20181113.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	FoodNet Yersinia	Agency IC Tracking Number:	0920-0978 19BPK

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 301 Public Health Service Act

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0978	Foodborne and DIarrheal Diseases Message Mapping Guide (FDD MMG - FoodNet only portion)	Att6_FDD_V1.0_MMG_FoodNet_only_20181113.xlsx	NA	Yes	Yes	Fillable Fileable
Other-Variable list			Att4_FoodNet Variable List 2021_20200904.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	550	550
Annual IC Time Burden (Hours)	92	92
Annual IC Cost Burden (Dollars)	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.