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Burkholderia Investigation_LA
Emergency Epidemic Investigation Data Collections - Expedited Reviews
OMB: 0920-1011
IC ID: 214996
OMB.report
HHS/CDC
OMB 0920-1011
ICR 201511-0920-002
IC 214996
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:
2022-10-07 - Revision of a currently approved collection
2022-01-13 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Burkholderia Investigation_LA
Form and Instruction
Risk Assessment for Primate Research Center Employees an
Appendix 1 Risk assessment_Burkholderia_LA.docx
Form and Instruction
GenIC Request Form - EEI Generic ICR_Burkholderia_LA.docx
GenIC Request for Approval
IC Document
FW URGENT 0920-1011 GenIC Request 2015006-012 Burkholderia_LA.msg
0920-1011 GenIC Request
IC Document
LOI_Burkholderia_LA.pdf
LOI
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Burkholderia Investigation_LA
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
None
Risk Assessment for Primate Research Center Employees and Inspectors
Appendix 1 Risk assessment_Burkholderia_LA.docx
None
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
09-20-0113, Epidemic Investigation Case Records
FR Citation:
51 FR 42466
Number of Respondents:
310
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
310
0
0
0
0
310
Annual IC Time Burden (Hours)
103
0
0
0
0
103
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request for Approval
GenIC Request Form - EEI Generic ICR_Burkholderia_LA.docx
02/12/2015
0920-1011 GenIC Request
FW URGENT 0920-1011 GenIC Request 2015006-012 Burkholderia_LA.msg
02/12/2015
LOI
LOI_Burkholderia_LA.pdf
02/13/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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