Information Collection

Infection Control Practioners Prevalence Survey #2, Phase 3

IC 192453 under ICR 201304-0920-003 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 Infection Control Practioners Prevalence Survey #2, Phase 3	Form
1 2010 HAI & Antimicrobial Use Point Prevalence Survey: Pr Attachment C_PrevSurveyForms (2).docx	Form

IC Title:

Infection Control Practioners Prevalence Survey #2, Phase 3

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

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	1	2010 HAI & Antimicrobial Use Point Prevalence Survey: Primary Team Data Collection Form	Attachment C_PrevSurveyForms (2).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

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
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-41,500	41,500
Annual IC Time Burden (Hours)	-3,458	3,458
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.