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COVID-19 Healthcare Worker Form - Microbiologist

IC 241298 under ICR 202008-0920-012 · OMB 0920-1290.

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Document Type
Form and Instruction
Form and Instruction
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COVID-19 Healthcare Worker Form - Microbiologist
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1290 COVID-19 Healthcare Worker Form Att7_NHSN COVID-19 Module Healthcare Worker Staffing Form.docx NA Yes Yes Fillable Fileable

Health Health Care Services

 

2,079 0
   
Individuals or Households
 
   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 374,220 0 0 0 0 374,220
Annual IC Time Burden (Hours) 155,925 0 0 0 0 155,925
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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