Foodborne Illness Outbreak Investigation Survey for FSIS Public Health Partners

Documents and Forms

Document Name Document Type
FSIS foodborne outbreak partner survey 10072021.docx Other-web survey
FSIS foodborne outbreak partner survey 10072021.docx Other-web survey

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-web survey			FSIS foodborne outbreak partner survey 10072021.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: 190	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	190	84	106
Annual IC Time Burden (Hours)	64	46	18
Annual IC Cost Burden (Dollars)	0	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.