Information Collection

BCC - Baseline

IC 217760 under ICR 201507-0920-012 · OMB 0920-1096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1096 can be found here:

Documents and Forms

Document Name Document Type
BCC - Baseline Form and Instruction
Effectiveness of Practices to Reduce Blood Culture Conta Appendix M1 Survey Instrument BCC Survey pre- 06232015.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	BCC - Baseline	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	NA	Effectiveness of Practices to Reduce Blood Culture Contamination: BCC - Pre	Appendix M1 Survey Instrument BCC Survey pre- 06232015.pdf	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,951	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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,951	7,951
Annual IC Time Burden (Hours)	4,638	4,638
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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