[NCEZID] Public Health Laboratory Testing for Emerging Antibiotic Resistance and Fungal Threats

ICR 202302-0920-008

OMB: 0920-1310

Federal Form Document

Forms and Documents

Document Name	Status
Form Form 12 AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing) Form and Instruction	New
Form Form 11 AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing) Form and Instruction	New
Form Form 10 Annual Evaluation and Performance Measurement Report (C. auris Whole Genome Sequencing) Form and Instruction	New
Form Form 9 AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae Form and Instruction	New
Form Form 8 Annual Evaluation and Performance Measurement Report (Neisseria gonorrhoeae) Form and Instruction	New
Form Form 7 AR Lab network Alert Report Form for C auris Form and Instruction	Modified
Form Form 6 Monthly Data Report Form Candida Form and Instruction	Modified
Form Form 5 Annual evaluation and Performance Measurement Report (Candida) Form and Instruction	Modified
Form Form 4 AR Lab network Alert Report Form for Bacterial Specimen Testing Form and Instruction	Modified
Form Form 3 Monthly Data Report Form for Bacterial Specimen Testing Form and Instruction	Modified
Form Form 2 Annual Eval and Performance Measurement Report for Bacterial Specimen Testing Form and Instruction	Modified
Form Form 1 Annual Report of Bacterial Specimen Testing Methods Form and Instruction	Modified
Attachment 9 Privacy Impact Assessment.pdf Supplementary Document	2023-02-15
Attachment 8 Human Subjects Exemption.pdf Supplementary Document	2023-02-15
Attachment 7 Summary of Candida Reporting by States.docx Supplementary Document	2023-02-15
Attachment 6 ELC ARLN State Testing Activities.pdf Supplementary Document	2023-02-15
Attachment 5 Summary of CRE, CRPA, and CRAB Reporting by States.docx Supplementary Document	2023-02-15
Attachment 2 60-day Federal Register.pdf Supplementary Document	2023-02-14
Attachment 1d Public Health Service Act.pdf Supplementary Document	2023-02-14
Attachment 1c National_action_plan_for_combating_antibotic-resistant_bacteria.pdf Supplementary Document	2023-02-14
Attachment 1b The National Strategy for Combating Antibiotic Resistant Bacteria.pdf Supplementary Document	2023-02-14
Attachment 1a Executive Order 13676.pdf Supplementary Document	2023-02-14
2. Supporting Statement B_final.docx Supporting Statement B	2023-02-14
1. Supporting Statement A_final.docx Supporting Statement A	2023-02-14

IC Document Collections

IC ID	Document Title	Status
258566	AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing) Form and Instruction	New
258565	AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing) Form and Instruction	New
258564	Annual Evaluation and Performance Measurement Report (C. auris Whole Genome Sequencing) Form and Instruction	New
258563	AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae Form and Instruction	New
258562	Annual Evaluation and Performance Measurement Report (Neisseria gonorrhoeae) Form and Instruction	New
239439	AR Lab network Alert Report Form for C auris Form and Instruction	Modified
239438	Monthly Data Report Form Candida Form and Instruction	Modified
239437	Annual evaluation and Performance Measurement Report (Candida) Form and Instruction	Modified
239436	AR Lab network Alert Report Form for Bacterial Specimen Testing Form and Instruction	Modified
239435	Monthly Data Report Form for Bacterial Specimen Testing Form and Instruction	Modified
239434	Annual Eval and Performance Measurement Report for Bacterial Specimen Testing Form and Instruction	Modified
239433	Annual Report of Bacterial Specimen Testing Methods Form and Instruction	Modified