Information Collection

Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

IC 233629 under ICR 202104-0583-001 · OMB 0583-0175.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0175 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FY21 FSIS foodborne outbreak partner survey_OA cleared 3.25.21.docx	Other-web survey
FY21 FSIS foodborne outbreak partner survey_OA cleared 3.25.21.docx	Other-web survey

IC Title:

Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-web survey			FY21 FSIS foodborne outbreak partner survey_OA cleared 3.25.21.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 106

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	106	106
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.