Information Collection

Infection Prevention and Patient Safety Activity Catalogue

IC 185570 under ICR 200807-0935-001 · OMB 0935-0144.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form #5 Infection Prevention and Patient Safety Activity Catalogue	Form
Form #5 Infection Prevention and Patient Safety Activity Catalog Attachment F -- Infection Prevention & Patient Safety Activities Catalogue Instrument.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form #5	Infection Prevention and Patient Safety Activity Catalogue	Attachment F -- Infection Prevention & Patient Safety Activities Catalogue Instrument.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 136

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	136	136
Annual IC Time Burden (Hours)	136	136
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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