View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Undetermined risk factors for E.coli O157 among visitors to a goat dairy--Connecticut, 2016	Agency IC Tracking Number:	0920-1011

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	NA	Festival A Interview Form	Appendix 1_Interview Form_final.docx	NA	No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0113 - Epidemic Investigation Case Records	FR Citation: 51 FR 42466

Number of Respondents: 100	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	100	0	100	0	0	0
Annual IC Time Burden (Hours)	50	0	50	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Letter of Invitation	LOI.pdf	03/25/2016
Burden Memo Email	Burden Memo Email.msg	03/25/2016
GenIC Request - Shiga Toxin producing E coli O157 - CT, 2016	2016014-XXX E. Coli_CT.docx	03/25/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.