Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form

Emerging Infections Program

OMB: 0920-0978

IC ID: 207647

Information Collection (IC) Details

View Information Collection (IC)

Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form
 
No Unchanged
 
Voluntary
 
42 CFR 301 Public Health Service Act

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Invasive Methicillin-Resistant Staph Attachment2_ABCs_MRSA_CRF_Feb2014.pdf Yes Yes Fillable Fileable
Form CDC 52.15B Rev 10-2015 Healthcare-Associated Infections Community Interface (HACI) Case Report -2016 Att. 7 - MRSA Form.pdf Yes Yes Fillable Fileable
Form CDC 52.15B Rev 09-2016 Invasive Methicillin-Resistant Staphylococcus aureus HAIC Case Report - 2017 Att. E - 16_270050_MRSA2017_OMB_v2.pdf NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

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 6,090 0 0 0 0 6,090
Annual IC Time Burden (Hours) 2,030 0 0 0 0 2,030
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy