Information Collection

FoodNet Active Surveillance Data Element - [Shigella]

IC 207661 under ICR 202309-0920-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0978 FoodNet Active Surveillance Data Element - [Shigella]	Form
0920-0978 FoodNet Variable List, 2024 Att5_FoodNET_FoodNet Variable List 2024_8.4.2023.pdf	Form
0920-0978 FoodNet Variable List, 2024 Att5_FoodNET_FoodNet Variable List 2024_8.4.2023.pdf	Form

IC Title:

FoodNet Active Surveillance Data Element - [Shigella]

Agency IC Tracking Number:

0920-0978-23HY

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-0978	FoodNet Variable List, 2024	Att5_FoodNET_FoodNet Variable List 2024_8.4.2023.pdf		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 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,340	2,340
Annual IC Time Burden (Hours)	390	390
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.