Provision of Patient Lists

Provision of Patients List

Form Approved

OMB No. 0920-0852

Expr. 12/31/16

For the provision of patient lists in 2014 for the antimicrobial prescribing quality assessment, respondents will be computer systems analysts or other designated healthcare facility staff (such as pharmacy staff or billing/administrative staff). We anticipate a total of no more than 500 respondents. The time required in each facility to generate the patient lists is estimated to be 4 hours.

Public reporting burden of this collection of information is estimated to average 4 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74,  Atlanta, Georgia 30333; ATTN:  PRA (0920-0852).