Sample Data Call - Questions

Attachment 3 Form Approved

OMB No. 0920-0881

Exp. Date: xx/xx/xxxx

Data Calls for the Laboratory Response Network

Questions that may be used for LRN Special Data Calls

1. Do you have staff and equipment to support Event X?

2. How much staff and equipment do you have to support Event X?

3. Are you using version Y of instrument Z?

4. Has your laboratory received samples for LRN testing related to Event X?

5. How many samples has your laboratory tested for Event X?

6. Which sample types (e.g. clinical, environmental, etc) have your laboratory tested for Event X?

7. Was anyone in your laboratory exposed to agent A? What was the route of exposure to agent A?

8. How many clinical laboratories are designated advance sentinel laboratories in your state?

9. Are you willing to participate in multi center validation study B?

10. Is your laboratory CLIA certified for Agent A?

11. What training format (Format A, B, C, or D) would your laboratory prefer for method Y?

12. How many samples can your laboratory analyze for Agent X with your current stockpile of analytical material and consumables?

13. Does your laboratory need additional training for instrument Z

14. Does your laboratory need additional training for method Y?

15. What is your laboratory capacity for shipping/receiving samples related to Event X?

16. What is your laboratory capacity for storing samples related to Event X?

17. Does your laboratory have any vacant chemists (or microbiologists or molecular biologists) positions? At what level (phd, ms, bs)?

Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74,  Atlanta, Georgia 30333; ATTN:  PRA (0920-0881).