FoodNet Hemolytic Uremic Syndrome (HUS)

[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⚠️ Notice: This information collection may be referencing outdated material.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
Form ABC.200.9 FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction
ABC.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Su FN200.9_FoodNet HUS Case Report Form 2024.pdf Form and Instruction
ABC.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Su FN200.9_FoodNet HUS Case Report Form 2024.pdf Form and Instruction

Information Collection (IC) Details

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	ABC.200.9	FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form	FN200.9_FoodNet HUS Case Report Form 2024.pdf	NA	Yes	Yes	Fillable Fileable

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	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
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.