View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Burkholderia Investigation_LA	Agency IC Tracking Number:

IC Status: New

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 %

	Approved	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	310	0	0	0
Annual IC Time Burden (Hours)	103	0	103	0	0	0
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.