OMB control number

[NCEZID] B. multivorans Ice Machine Multistate Investigation

OMB 0920-1430 · HHS/CDC.

OMB 0920-1430

CDC requests approval for an outbreak investigation which aims to evaluate the associations between Burkholderia multivorans infections among hospitalized patients and potential exposures to nonsterile ice and water from ice machines to help inform measures to prevent ongoing transmission. CDC will share findings and recommendations with public health and healthcare partners to prevent further spread of B. multivorans infections; findings may also be shared with other relevant stakeholders and/or published in scientific journals to disseminate investigation outcomes. This Non-Substantive Change Request is submitted to update Sex questions used in the Burkholderia multivorans Outbreak Investigation Case Report Form to be in accordance with EO 14168. There is no change to the burdenhours requested.

The latest form for [NCEZID] B. multivorans Ice Machine Multistate Investigation expires 2027-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

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

All Historical Document Collections

202502-0920-011	No material or nonsubstantive change to a currently approved collection	2025-03-28
202408-0920-017	Extension without change of a currently approved collection	2024-09-11
202404-0920-002 Approved without change	New collection (Request for a new OMB Control Number)	2024-04-04