Information Collection

57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring

IC 183559 under ICR 202301-0920-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 CDC 57.127 57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring	Form
Form CDC 57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Reporting 57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring	Form
CDC 57.127 MDRO and CDI Prevention Process and Outcome Measures Mon 57.127_MDROMonthlyReporting_BLANK.docx	Form
CDC 57.127 MDRO and CDI Prevention Process and Outcome Measures Mon 57.127_MDROMonthlyReporting_BLANK.docx	Form
16. MDRO & CDI.pdf Att G16_MDRO & CDI	IC Document
16. MDRO & CDI.pdf Att G16_MDRO & CDI	IC Document

IC Title:

57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring

Agency IC Tracking Number:

0920-0666

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	CDC 57.127	MDRO and CDI Prevention Process and Outcome Measures Monthly Reporting	57.127_MDROMonthlyReporting_BLANK.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,500

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	159,500	0	159,500
Annual IC Time Burden (Hours)	39,875	0	39,875
Annual IC Cost Burden (Dollars)	0	-1,581,442	1,581,442

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att G16_MDRO & CDI	16. MDRO & CDI.pdf	09/25/2018

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