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COVID-19 Supplies Form - Microbiologist

IC 241301 under ICR 202008-0920-012 · OMB 0920-1290.

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Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
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COVID-19 Supplies 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 Supplies Form Att8_NHSN COVID-19 Supplies Form .docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1290 COVID-19 Module Hospital Supply Pathway 01JUL2020 57.132_v2cCOVID-19_SUP 06122020 FINAL.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) 187,110 0 0 0 0 187,110
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Instructions - Hospital Supply Pathway TOI_57.132_v2bCOVI-19 SUP_06122020 Final .docx 07/01/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.