Information Collection

HAI and Antimicrobial Use Point Prevalence Survey - phase 3

IC 196207 under ICR 201102-0920-010 · OMB 0920-0852.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0852 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HAI and Antimicrobial Use Point Prevalence Survey - phase 3	Form
HAI and Antimicrobial Use Point Prevalence Survey AttachmentB_0920-0852_OMBApprovedDataCollectionForm.docx	Form

IC Title:

HAI and Antimicrobial Use Point Prevalence Survey - phase 3

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	none	HAI and Antimicrobial Use Point Prevalence Survey	AttachmentB_0920-0852_OMBApprovedDataCollectionForm.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36,500	36,500
Annual IC Time Burden (Hours)	7,300	7,300
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.