Pseudomonas NICU_CA

Emergency Epidemic Investigation Data Collections - Expedited Reviews

OMB: 0920-1011

IC ID: 213233

Documents and Forms
Document Name
Document Type
Other-WORD
Other-WORD
Other-WORD
Other-WORD
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Pseudomonas NICU_CA 14AZS
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Appendix 1_chart abstraction tool_2014019_Pseudomonas NICU _CA.docx No   Fillable Fileable
Other-WORD Appendix_2_hand hygiene audit tool_2014019_Pseudomonas NICU_CA.doc No   Fillable Printable
Other-WORD Appendix 3_CLABSI Checklist_2014019_Pseudomonas NICU_CA.pdf No   Fillable Printable
Other-WORD Appendix 4_healthcare personnel interview_2014019_Pseudomonas NICU_CA.docx No   Fillable Printable

Health Public Health Monitoring

 

235 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 235 0 0 0 0 235
Annual IC Time Burden (Hours) 43 0 0 0 0 43
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 2014019-078_Pseudomonas NICU_CA.docx 09/24/2014
Letter of Invitation CA Letter of Invite Pseudomonas NICU.docx 09/24/2014
Completed GenIC Form 0920-1011 GenIC Request Pseudomonas NICU_CA.msg 09/24/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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