Information Collection

[NCEZID] Multistate investigation of serious adverse events, including deaths, of unknown etiology following ceftriaxone administration_Sep 2024-Present

IC 274026 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1011 Case Report Form - Ceftriaxone Injection in Healthcare Settings - Public Health Departments [NCEZID] Multistate investigation of serious adverse events, including deaths, of unknown etiology following ceftriaxone administration_Sep 2024-Present	Form and Instruction
Form 0920-1011 Case Report Form - Ceftriaxone Injection in Healthcare Settings - Healthcare Providers [NCEZID] Multistate investigation of serious adverse events, including deaths, of unknown etiology following ceftriaxone administration_Sep 2024-Present	Form and Instruction

Record metadata
IC Title	[NCEZID] Multistate investigation of serious adverse events, including deaths, of unknown etiology following ceftriaxone administration_Sep 2024-Present