Pediatric Case Subject Screening Process

Risk Factors for Community-Associated Clostridium difficile Infection through the Emerging Infections Program

OMB: 0920-1013

IC ID: 210431

Information Collection (IC) Details

View Information Collection (IC)

Pediatric Case Subject Screening Process
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920 Attachment D_Pediatric case and control Screening Forms Attachment D_Pediatric case and control Screening Forms 1_24_14.docx Yes Yes Fillable Fileable

Health Immunization Management

 

141 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 141 0 141 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SPANISH TRANSLATION_Attachment K_Pediatric Case and Control Screening Forms SPANISH TRANSLATION_Attachment K_Pediatric Case and Control Screening Forms_1_24_14.docx 02/17/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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