ABCs Neonatal Infection Expanded Tracking Form

Emerging Infections Program

OMB: 0920-0978

IC ID: 207649

Information Collection (IC) Details

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ABCs Neonatal Infection Expanded Tracking Form
 
No Modified
 
Voluntary
 
42 CFR 301 Public Health Service Act

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Neonatal Tracking Attachment3_ABCs Extended Neonatal Infection CRF_Feb2014.pdf Yes Yes Fillable Fileable

Health Immunization Management

 

10 0
   
State, Local, and Tribal Governments
 
   100 %

  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 370 0 0 0 0 370
Annual IC Time Burden (Hours) 123 0 0 0 0 123
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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