[NCEZID] Shigella Hypothesis Generating Questionnaire

OMB 0920-1307

There is currently no national, standardized hypothesis generating interview data collection instrument for use during single or multistate shigellosis cluster or outbreak investigations. The Shigella Hypothesis Generating Questionnaire (SHGQ) will be administered by state and local public health officials among cases as part of outbreak and cluster response.

The latest form for [NCEZID] Shigella Hypothesis Generating Questionnaire expires 2023-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1307 Shigella Hypothesis Generating Questionnaire Form and Instruction
Att E Privacy Impact Assessment.pdf Supplementary Document
Att D Human Subjects Determination.pdf Supplementary Document
Att B Published 60-day Federal Register.pdf Supplementary Document
Att A Authorizing Legislation_FINAL.pdf Supplementary Document
Supporting Statement B_SHGQ_FINAL.docx Supporting Statement B
Supporting Statement A_SHGQ.docx Supporting Statement A
Shigella Hypothesis Generating Questionnaire Form and Instruction

All Historical Document Collections

202309-0920-009 Approved without change	Extension without change of a currently approved collection	2023-10-06
202209-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-09-06
202007-0920-012 Approved with change	New collection (Request for a new OMB Control Number)	2020-08-04