Information Collection

HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA)

IC 231113 under ICR 202204-0920-008 · OMB 0920-0978.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:

Documents and Forms

Document Name Document Type
HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA) Form and Instruction
MSSA Report 2021 Att26- HAIC MSSA2022_FINAL2.pdf Form and Instruction
MSSA Report 2021 Att26- HAIC MSSA2022_FINAL2.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	HAIC Invasive Methicillin-Sensitive Staphylococcus aureus (MSSA)	Agency IC Tracking Number:	0920-0978

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	none	MSSA Report 2021	Att26- HAIC MSSA2022_FINAL2.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,840	1,090	4,750
Annual IC Time Burden (Hours)	2,725	508	2,217
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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