Information Collection

[NCEZID] Undetermined Risk Ractors for Carbapenemase-producing Carbapenem-resistant Enterobacterales (CP-CRE) Among Children in Healthcare Settings - United States

IC 272438 under ICR 202209-0920-030 · OMB 0920-1011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Case Report Form [NCEZID] Undetermined Risk Ractors for Carbapenemase-producing Carbapenem-resistant Enterobacterales (CP-CRE) Among Children in Healthcare Settings - United States	Form and Instruction
Case Report Form crf-final 16AUG2024.pdf	Form and Instruction
EEI GenIC Request Form 0920-1011_extension_final.docx GenIC Request Template	IC Document
CSTE_Letter of Support_extension.pdf CSTE Letter of Support	IC Document
eei-burden-estimate.2024-07-31 (3).docx Burden Table Estimate	IC Document
Human Subjects Determination.pdf Research Determination	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NCEZID] Undetermined Risk Ractors for Carbapenemase-producing Carbapenem-resistant Enterobacterales (CP-CRE) Among Children in Healthcare Settings - United States

Agency IC Tracking Number:

0920-1011-25BL

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Disaster Management

Subfunction: Emergency Response

Privacy Act System of Records

Title: Epidemic Investigations Case Record - SORN Number 09-20-0113

FR Citation: 51 FR 42466

Number of Respondents: 34

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	204	204
Annual IC Time Burden (Hours)	204	204
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request Template		11/18/2024
CSTE Letter of Support		11/18/2024
Burden Table Estimate		11/18/2024
Research Determination		11/18/2024

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

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