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Investigation of Multistate Outbreak of Severe Illness related to consumption of Diamond ShruumzTM Brand products-United States_2024 0920-1011
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1011 Diamond Shruumz Outbreak Investigation Case Report Form Appx1 Protocol for Case Report and Investig QRE for Diamond Shruumz Outbreak Investig_Final.pdf N/A Yes Yes Fillable Fileable

Disaster Management Emergency Response

 

100 0
   
Individuals or Households
 
   100 %

  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) 83 0 83 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0920-1011 EEI GenIC Request Memo 1. GenIC Request Form - EEI Generic ICR_DiamondShruumz_Final.docx 07/03/2024
Burden Estimate Memo 0920-1011 - Burden Estimate Email.msg 07/03/2024
CSTE Letter of Support CSTE Letter to Dr Erik Svendsen - NCEH.pdf 07/03/2024
Letter of Invitation - Sample_AZ AZ Letter of Support 20240625.NCEH.pdf 07/03/2024
Letter of Invitation - Sample_NV NV Letter of Support for coordinated investigation support NCEH Outbreak 2024-06-24.pdf 07/03/2024
CDC Memo EEI Diamond Shruumz CDCMemo_EEI_DiamondShruumz AC 7-3-2024.pdf 07/05/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.