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FoodNet Hemolytic Uremic Syndrome (HUS)
[NCEZID] Emerging Infections Program
OMB: 0920-0978
IC ID: 207652
OMB.report
HHS/CDC
OMB 0920-0978
ICR 202302-0920-009
IC 207652
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:
2024-07-26 - Revision of a currently approved collection
2023-12-29 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 0920-0978
FoodNet Hemolytic Uremic Syndrome (HUS)
Form and Instruction
Form 0920-0978
FoodNet Hemolytic Uremic Syndrome (HUS)
Form and Instruction
0920-0978 FoodNet CDC's FoodNet Hemolytic Uremic syndrome (HUS) Su
Att6_FoodNet_Hemolytic Uremic Syndrome (HUS).pdf
Form and Instruction
0920-0978 FoodNet CDC's FoodNet Hemolytic Uremic syndrome (HUS) Su
Att6_FoodNet_Hemolytic Uremic Syndrome (HUS).pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FoodNet Hemolytic Uremic Syndrome (HUS)
Agency IC Tracking Number:
0920-0978
Is this a Common Form?
No
IC Status:
Modified
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
FoodNet CDC's FoodNet Hemolytic Uremic syndrome (HUS) Surveillance Case Report Form
Att6_FoodNet_Hemolytic Uremic Syndrome (HUS).pdf
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
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
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100
0
0
0
0
100
Annual IC Time Burden (Hours)
100
0
0
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
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.