57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data

The National Healthcare Safety Network (NHSN)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form CDC 57.124 57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data Form and Instruction
CDC 57.124 Antimicrobial Use and Resistance (AUR): Pharmacy Data Mo 57.124_AUR Pharm Electronic Upload Tables.docx Form and Instruction
Att G.1_Antimcrobial Use and Resistance.pdf Att G.1_Antimicrobial Use and Resistance (AUR) Module IC Document

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CDC 57.124	Antimicrobial Use and Resistance (AUR): Pharmacy Data Monthly Electronic Upload Specification Tables	57.124_AUR Pharm Electronic Upload Tables.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	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)	84,600	84,600

Documents for IC

Title	Document	Date Uploaded
Att G.1_Antimicrobial Use and Resistance (AUR) Module	Att G.1_Antimcrobial Use and Resistance.pdf	08/25/2014

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