Information Collection

57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data

IC 183568 under ICR 201112-0920-004 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 57.124 57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data	Form
57.124 Antimicrobial Use and Resistance (AUR)-Pharmacy Data Ele 57.124 AUR Pharm Electronic Upload Tables MMN.doc	Form
F1.11PSC_AUR.pdf F1	IC Document

IC Title:

57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	57.124	Antimicrobial Use and Resistance (AUR)-Pharmacy Data Electronic Upload Specificaton Tables	57.124 AUR Pharm Electronic Upload Tables MMN.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	72,000	72,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
F1	F1.11PSC_AUR.pdf	12/05/2011

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