OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Team Antibiotic Review Form (Cohorts 1, 2, and 3)

IC 227702 under ICR 201906-0935-002 · OMB 0935-0238.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Team Antibiotic Review Form (Cohorts 1, 2, and 3)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction E Attachment E: Completion Guide for Team Antibiotic Review Form Attachment E Completion Guide for Team Antibiotic Review Form.1.docx No   Fillable Printable
Form and Instruction D Attachment D: Team Antibiotic Review Form Attachment D Team Antibiotic Review Form.1.docx No   Paper Only

Health Health Care Services

 

337 0
   
Individuals or Households
 
   0 %

  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 30,330 0 0 0 0 30,330
Annual IC Time Burden (Hours) 7,583 0 0 0 0 7,583
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.