[NCEZID] EMERGENCY - B. multivorans Ice Machine Multistate Investigation

ICR 202404-0920-002

OMB: 0920-1430

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1430 can be found here:

2024-09-11 - Extension without change of a currently approved collection

Forms and Documents

Document Name	Status
Burkholderia multivorans Outbreak Investigation Case Report Form Form	New
Burkholderia multivorans Outbreak Investigation Case Report Form Form	New
Supporting Statement A_B multivorans.docx Supporting Statement A	2024-04-04
Supporting Statement A_B multivorans.docx Supporting Statement A	2024-04-04
Attachment 4-PIA REDCap.pdf Supplementary Document	2024-04-04
Attachment 4-PIA REDCap.pdf Supplementary Document	2024-04-04
Emergency Request Memo_B multivorans 2024 national call for cases dbj.pdf Supplementary Document	2024-04-02
Emergency Request Memo_B multivorans 2024 national call for cases dbj.pdf Supplementary Document	2024-04-02
Attachment 5-Human Subjects Determination.pdf Supplementary Document	2024-04-02
Attachment 5-Human Subjects Determination.pdf Supplementary Document	2024-04-02
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-04-02
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-04-02
Supporting Statement B_B multivorans 2024 national call for cases.docx Supporting Statement B	2024-04-02
Supporting Statement B_B multivorans 2024 national call for cases.docx Supporting Statement B	2024-04-02

IC Document Collections

IC ID	Document Title	Status
266503	Burkholderia multivorans Outbreak Investigation Case Report Form Form	New
266503	Burkholderia multivorans Outbreak Investigation Case Report Form Form	New

ICR Details

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