FoodNet Variable List_(CAMPYLOBACTER)

[NCEZID] Emerging Infections Program

Documents and Forms

Document Name Document Type
Form FN.200.1 FoodNet Variable List_(CAMPYLOBACTER) Form and Instruction
FN.200.1 FoodNet Variable List_ (CAMPYLOBACTER) FN.200.1-200.8_FoodNet Variable List_April2025_final.xlsx Form and Instruction

Information Collection (IC) Details

IC Title:	FoodNet Variable List_(CAMPYLOBACTER)	Agency IC Tracking Number:	0920-0978

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 301 Public Health Service Act

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FN.200.1	FoodNet Variable List_ (CAMPYLOBACTER)	FN.200.1-200.8_FoodNet Variable List_April2025_final.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	5,500	5,500
Annual IC Time Burden (Hours)	1,925	1,925
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.