CDI Treatment Form

Emerging Infections Program

OMB: 0920-0978

IC ID: 217335

Information Collection (IC) Details

View Information Collection (IC)

CDI Treatment Form
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NA EIP CDI Surveillance: CDI Case Treatment Questionnaire Attachment_23_CDI Treatment CRF_0920-0978.pdf NA Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

10 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 16,500 0 0 0 0 16,500
Annual IC Time Burden (Hours) 2,750 0 0 0 0 2,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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