Information Collection

57.207 Follow-up Laboratory Testing

IC 183557 under ICR 201603-0920-007 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material.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 57.207 57.207 Follow-up Laboratory Testing Form
CDC 57.207 Follow-up Laboratory Testing 57.207_LabTesting_BLANK.docx Form
Att G11_Healthcare Personnel Exposure.pdf Att G11_Healthcare Personnel Exposure IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	57.207 Follow-up Laboratory Testing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	CDC 57.207	Follow-up Laboratory Testing	57.207_LabTesting_BLANK.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	11,188	11,188

Documents for IC

Title	Document	Date Uploaded
Att G11_Healthcare Personnel Exposure	Att G11_Healthcare Personnel Exposure.pdf	09/09/2015

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