Data Reporting Web Screenshots

[NCEH] National Environmental Assessment Reporting System (NEARS)

Att8 NEARS Web Entry 11-25

NEARS Data Recording and Manager Interview Web Entry

OMB: 0920-0980

Document [docx]
Download: docx | pdf

Attachment 8 - NEARS Data Web Entry (screenshots)

Note to reviewers: This document contains screenshots of the NEARS data reporting system.


National Environmental Assessment Reporting System (NEARS)


Screenshot of OMB statement




Data Collectors

Shape1 Shape2

Part I: Outbreak General Characterization

Shape3 Shape4 Shape5 Shape6 Shape7 Shape8 Shape9 Shape10 Shape11 Shape12 Shape13 Shape14

Part VII: Contributing Factors

Shape15 Shape16 Shape17 Shape18 Shape19 Shape20

Part II: Establishment DescriptionShape21 Shape22 Shape23 Shape24

Shape25 Shape26

Part III: Establishment Manager InterviewShape27 Shape28 Shape29 Shape30 Shape31 Shape32 Shape33 Shape34 Shape35 Shape36 Shape37 Shape38 Shape39 Shape40 Shape41 Shape42 Shape43 Shape44 Shape45

Part IV: Establishment ObservationShape46 Shape47 Shape48 Shape49 Shape50 Shape51 Shape52 Shape53 Shape54 Shape55 Shape56 Shape57 Shape58 Shape59 Shape60

Part V: Suspected/Confirmed Food

Shape61

Shape62



Shape63 Shape64 Shape65 Shape66 Shape67 Shape68 Shape69

Shape70 Shape71 Shape72

Shape73 Shape74 Shape75

Part VI: Samples Taken

Shape76

Shape77



Part VI: Positive SamplesShape78 Shape79

NEARS—Page 11 | 11


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNational Environmental Assessment Reporting System (NEARS)
Author(CDC/DDNID/NCEH/DEHSP)
File Modified0000-00-00
File Created2026-01-29
© 2026 OMB.report | Privacy Policy