OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Burkholderia multivorans Outbreak Investigation Case Report Form

IC 266503 under ICR 202502-0920-011 · OMB 0920-1430.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Burkholderia multivorans Outbreak Investigation Case Report Form 0920-1430
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A Case Report Form (CRF) - B. multivorans Attachment 3-CRF_Burkholderia_multivorans_OMB_0920-1430_24.4.8.pdf N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1430 B.multivorans Outbreak Investigation_CRF CRF_Burkholderia_multivorans_26FEB2025_clean.pdf N/A Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

40 0
   
State, Local, and Tribal Governments
 
   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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 120 0 0 0 0 120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.