Information Collection Request

[NCEZID] B. multivorans Ice Machine Multistate Investigation

ICR 202502-0920-011 · OMB 0920-1430 · Active

Forms and Documents

Document Name	Status
Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified
Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified
Change Request Memo - EO14168_OMB No 0920-1430.docx Justification for No Material/Nonsubstantive Change	2025-02-26
Change Request Memo - EO14168_OMB No 0920-1430.docx Justification for No Material/Nonsubstantive Change	2025-02-26
Attachment 5-Human Subjects Determination.pdf Supplementary Document	2024-09-09
Attachment 5-Human Subjects Determination.pdf Supplementary Document	2024-09-09
Attachment 4-PIA REDCap.pdf Supplementary Document	2024-09-09
Attachment 4-PIA REDCap.pdf Supplementary Document	2024-09-09
Attachment 2-Published 60-day FRN.pdf Supplementary Document	2024-09-09
Attachment 2-Published 60-day FRN.pdf Supplementary Document	2024-09-09
Supporting Statement A_B multivorans_2024.8.21_final_final.docx Supporting Statement A	2024-11-06
Supporting Statement A_B multivorans_2024.8.21_final_final.docx Supporting Statement A	2024-11-06
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-09-09
Attachment 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document	2024-09-09
Supporting Statement B_B multivorans 2024.docx Supporting Statement B	2024-09-09
Supporting Statement B_B multivorans 2024.docx Supporting Statement B	2024-09-09

IC Document Collections

IC ID	Document Title	Status
266503	Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified
266503	Burkholderia multivorans Outbreak Investigation Case Report Form Form	Modified

ICR Details

Status	Active
Agency/Subagency	HHS/CDC
OMB Control No	0920-1430
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202408-0920-017
Agency Tracking No	0920-1430
Date Submitted to OIRA	2025-03-28
Requested Expiration Date	1969-12-31