Information Collection

2020 Carbapenem Resistance Veterinary Diagnostic Laboratory Survey

IC 243827 under ICR 201711-0920-012 · OMB 0920-0879.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0879 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2020 Carbapenem Resistance Veterinary Diagnostic Laboratory Survey	Form and Instruction
Attachment B CRE Instrument Word Version.docx	Other-WORD version of survey to faci
2020 Carbapenem Resistance Veterinary Diagnostic Laborat Attachment C CRE Instrument Web Version.pdf	Form and Instruction
CRE Lab Survey SSA updated 09.30.20.docx Supporting Statement Part A	IC Document
CRE Lab Survey SSB (003) Updated.docx Supporting Statement Part B	IC Document
Attachment A Veterinary Diagnostic Laboratory Name, Location, and Type List.xlsx List of Diagnostic Labs Invited to Participate in the Survey	IC Document
Attachment D CRE Instrument Attachment Laboratory Guidelines.pdf Laboratory Guidelines (Reference Document for Survey)	IC Document
Attachment E Email Introduction Letter.docx Email Invitation with Link to Web-based Survey	IC Document
Attachment F Email Introduction Reminder Letter.docx Email Reminder	IC Document

IC Title:

2020 Carbapenem Resistance Veterinary Diagnostic Laboratory Survey

Agency IC Tracking Number:

0920-20SH

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	2020 Carbapenem Resistance Veterinary Diagnostic Laboratory Survey	Attachment C CRE Instrument Web Version.pdf		Yes	Yes	Fillable Fileable
Other-WORD version of survey to facilitate review of content			Attachment B CRE Instrument Word Version.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	543	543

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement Part A	CRE Lab Survey SSA updated 09.30.20.docx	10/01/2020
Supporting Statement Part B	CRE Lab Survey SSB (003) Updated.docx	10/01/2020
List of Diagnostic Labs Invited to Participate in the Survey	Attachment A Veterinary Diagnostic Laboratory Name, Location, and Type List.xlsx	10/01/2020
Laboratory Guidelines (Reference Document for Survey)	Attachment D CRE Instrument Attachment Laboratory Guidelines.pdf	10/01/2020
Email Invitation with Link to Web-based Survey	Attachment E Email Introduction Letter.docx	10/01/2020
Email Reminder	Attachment F Email Introduction Reminder Letter.docx	10/01/2020

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