OMB control number
[NCEZID] Shigella Hypothesis Generating Questionnaire
OMB 0920-1307 ยท HHS/CDC.
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 is listed under ICR 202007-0920-012.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202309-0920-009 | Extension without change of a currently approved collection | 2023-10-06 | Approved without change | |
| 202209-0920-002 | No material or nonsubstantive change to a currently approved collection | 2022-09-06 | Approved without change | |
| 202007-0920-012 | New collection (Request for a new OMB Control Number) | 2020-08-04 | Approved with change |