FoodNet Campylobacter

[NCEZID] Emerging Infections Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:

Documents and Forms

Document Name Document Type
Att5_FoodNET_FoodNet Variable List 2024_8.4.2023.pdf Other-Variable list
Att5_FoodNET_FoodNet Variable List 2024_8.4.2023.pdf Other-Variable list

Information Collection (IC) Details

IC Title:	FoodNet Campylobacter	Agency IC Tracking Number:	0920-0978-24BX

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
Other-Variable list			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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	9,700	9,700
Annual IC Time Burden (Hours)	3,395	3,395
Annual IC Cost Burden (Dollars)	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.