Information Collection

Cyclosporiasis National Hypothesis Generating Questionnaire

IC 226341 under ICR 202610-0920-014 · OMB 0920-1198.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Cyclosporiasis National Hypothesis Generating Questionnaire Cyclosporiasis National Hypothesis Generating Questionnaire	Form and Instruction
Cyclosporiasis National Hypothesis Generating Questionna Attachment B CNHGQ Datacollection 2023_fillable_edited_OCT2026_clean.pdf	Form and Instruction
Attachment E CNHGQ_data elements_final.xlsx CHHGQ Data Elements	IC Document

IC Title:

Agency IC Tracking Number:

0920-26-0215

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	n/a				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,800	300	2,500
Annual IC Time Burden (Hours)	2,100	225	1,875
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CHHGQ Data Elements		10/23/2026

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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