Information Collection

57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data

IC 183568 under ICR 202212-0920-013 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 57.124 57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data	Form and Instruction
Form 57.124 57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data	Form and Instruction
57.124 57.124_TOI_2022 57.124_TOI_2022[1].docx	Form and Instruction
57.124 57.124_TOI_2022 57.124_TOI_2022[1].docx	Form and Instruction
57.124 Antimicrobial Use and Resistance (AUR): Pharmacy Data Mo 57.124_AUR Pharm Electronic Upload Tables_March2022.docx	Form and Instruction
57.124 Antimicrobial Use and Resistance (AUR): Pharmacy Data Mo 57.124_AUR Pharm Electronic Upload Tables_March2022.docx	Form and Instruction
2. Antimicrobial Use and Resistance.pdf Att G2_Antimicrobial Use and Resistance	IC Document
2. Antimicrobial Use and Resistance.pdf Att G2_Antimicrobial Use and Resistance	IC Document

IC Title:

57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	57.124	57.124_TOI_2022	57.124_TOI_2022[1].docx		Yes	Yes	Fillable Fileable
Form and Instruction	57.124	Antimicrobial Use and Resistance (AUR): Pharmacy Data Monthly Electronic Upload Specification Tables	57.124_AUR Pharm Electronic Upload Tables_March2022.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	48,000	18,000	30,000
Annual IC Time Burden (Hours)	4,000	1,500	2,500
Annual IC Cost Burden (Dollars)	233,616	87,606	146,010

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att G2_Antimicrobial Use and Resistance	2. Antimicrobial Use and Resistance.pdf	09/26/2018

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