Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
20140006XXX Measles FSM Unchanged 450 150 0 Other-WORD
Other-WORD
Other-PDF
2014004XXX_Legionnaires' Disease_Alabama 2014 Unchanged 45 11 0 Form none
Form none
2014005XXX_DiarrhealDisease_AS Unchanged 400 117 0 Form none
Form none
2014008-XXX Chikungunya_PR Unchanged 6256 1564 0 Form none
Form none
Form none
Form none
2014009-XXX_Chikungunya_US Service Org Volunteers Unchanged 294 184 0
2014010-XXX Ebola_Guinea Unchanged 2600 351 0 Form and Instruction 0920-1011
Form 0920-1011
2014011-XXX Ebola_Liberia Unchanged 2600 350 0 Form none
Form none
2014012-XXX Resp Illness UC_CA Unchanged 250 83 0 Other-WORD
Other-WORD
Other-Email
2014013-XXX_Resp Illness UAC_Multi Unchanged 550 275 0 Other-WORD
Other-WORD
2014014-XXX Ebola_Sierra Leone Unchanged 3200 454 0 Other-PDF
Other-PDF
2014015-XXX_Parechovirus_Multi Unchanged 60 18 0 Form none
Form none
2014016-XXX_Ebola_DRC Unchanged 1200 134 0 Other-WORD
Other-WORD
2014E003XXX_MERS-CoV_GA Unchanged 186 40 0 Form none
Form none
BSI_CA Unchanged 26 85 0 Form none
Form none
Form none
Burkholderia Investigation_LA Unchanged 310 103 0 Form and Instruction None
CCRF_Georgia Unchanged 830 303 0 Form none
Form none
Form none
Chikungunya_USVI Unchanged 20 5 0 Other-WORD
Form and Instruction CDC 56.31 A REV. 06/2006
Other-E-mail
Other-WORD
Cholera_Kenya Unchanged 550 183 0 Form and Instruction None
Form and Instruction None
Dengue_AZ Unchanged 220 56 0 Other-WORD
Other-WORD
Other-WORD
Form CDC56.31A
EEI Guillain-Barre Syndrome_Bahia Brazil Unchanged 140 80 0 Form NA
Form NA
Form NA
Form NA
Ebola_TX Unchanged 76 13 0 Form None
Form and Instruction None
Ebola_West Africa_2014 Unchanged 113 105 0 Form and Instruction none
Form and Instruction none
Form and Instruction none
GAS_IL 2015 Unchanged 300 117 0 Form NA
Form and Instruction NA
Mucormycosis_Kansas Unchanged 26 43 0 Form and Instruction None
Form and Instruction None
PA NTM Unchanged 10 12 0 Form none
Form none
Pediatric cluster of neurologic symptoms - Colorado Unchanged 18 12 0 Form none
Form none
Pseudomonas NICU_CA Unchanged 235 43 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
Qualitative Investigation of HIV Transmission in Southeastern Indiana, 2015 Unchanged 30 45 0 Form and Instruction NA
Tainted Beverage_Mozambique Unchanged 250 83 0 Other-WORD
Other-WORD
Undetermined Source of an outbreak of Legionnaires' Disease among Hotel A Visitors - Hannibal, MO 2015 Unchanged 12 18 0 Form and Instruction NA
Form NA
Undetermined agent, source, mode of transmission, and risk factors for Guillain-Barré Syndrome in the setting of Zika virus transmission - Colombia, 2016 New 180 90 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Undetermined risk factors associated with increase in bites from rabid dogs, resulting in at least one human death, Gonaives, Haiti, 2015 Unchanged 180 55 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Undetermined risk factors for E.coli O157 among visitors to a goat dairy--Connecticut, 2016 New 100 50 0 Form and Instruction NA
Undetermined risk factors for ocular syphilis - North Carolina, 2015 Unchanged 100 88 0 Form NA
Form NA
Undetermined risk of exposure for human-to-human spread of rabies to contact of case patient following mongoose-associated human rabies case, Puerto Rico, 2015. Unchanged 250 50 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Undetermined source of Elizabethkingia meningoseptica bloodstream infection among Wisconsin residents - Wisconsin, 2016 New 25 32 0 Form and Instruction NA
Undetermined source, mode of transmission, and risk factors for an outbreak of group A Streptococcus among residents of a long term care facility - Chicago, Illinois, 2016 New 443 151 0 Form and Instruction NA
Form and Instruction NA
Form and Instruction NA
Undetermined sources and risk factors for a Rift Valley Fever Outbreak-Uganda, 2016 New 750 375 0 Form and Instruction NA
Form and Instruction NA
Undetermined sources, modes of transmission, risk factors, and health outcomes for Zika virus infection - Brazil, 2016 New 685 320 0 Form and Instruction NA
Form NA
Undetermined sources, modes of transmission, risk factors, and health outcomes for Zika virus infection - Puerto Rico, 2016 New 102 77 0 Form and Instruction NA
Form and Instruction NA
Undetermined sources, modes of transmission, risk factors, and health outcomes for Zika virus infection – American Samoa, 2016 New 800 134 0 Form and Instruction NA
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 24872 6459 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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