Form 0920-0980 Data Reporting Web Screenshots

National Environmental Assessment Reporting System (NEARS)

Att8 NEARS Data Reporting System (screenshots) 7-22

NEARS Data Recording and Manager Interview Web Entry

OMB: 0920-0980

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Attachment 8 - NEARS data reporting system

Note to reviewers: This document contains screenshots of the NEARS data reporting system, with the exception of the new SVI question we are adding. Users will begin collecting this information during their investigations January 1, 2023. This question will be added to the web-based data entry system just prior to that time to accommodate programmer budgets and scheduling.


National Environmental Assessment Reporting System (NEARS)


Screenshot of OMB statement




Data Collectors

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Part I: Outbreak General Characterization

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Part VII: Contributing Factors

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Part II: Establishment DescriptionShape21 Shape22 Shape23 Shape24

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Part III: Establishment Manager InterviewShape27 Shape28 Shape29 Shape30 Shape31 Shape32 Shape33 Shape34 Shape35 Shape36 Shape37 Shape38 Shape39 Shape40 Shape41 Shape42 Shape43 Shape44 Shape45

Part IV: Establishment ObservationShape46 Shape47 Shape48 Shape49 Shape50 Shape51 Shape52 Shape53 Shape54 Shape55 Shape56 Shape57 Shape58 Shape59 Shape60

Part V: Suspected/Confirmed Food

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Part VI: Samples Taken

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Part VI: Positive SamplesShape78 Shape79

NEARS—Page 11 | 11


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNational Environmental Assessment Reporting System (NEARS)
Author(CDC/DDNID/NCEH/DEHSP)
File Modified0000-00-00
File Created2022-08-15
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