Form 11 AR Lab Network Alert and Monthly Data Report Form for is

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

Attachment 3k Form 11 AR Lab Network Form for Isolate and Specimen-level Mycotics Testing (C. auris WGS)

OMB: 0920-1310

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OMB Control No.: 0920-1310

Expiration date: XX/XX/XXXX

AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing)



ARLN isolate or REDCap ID

ARLN specimen id

ARLN PHL State

Public health laboratory name

REDCap reporting date

REDCap last updated date

Did your lab perform WGS on this isolate?

Date isolate was whole genome sequenced

WGS ID

SRR number

Did your lab use MycoSNP for QC and SNP analysis?

If other bioinformatics tools were used for QC and SNP analysis, specify

C. auris clade

If other C. auris clade identified, specify

Date sequence results reported

WGS comments

Public reporting burden of this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1310


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorParnell, Lindsay (CDC/DDID/NCEZID/DFWED)
File Modified0000-00-00
File Created2023-08-26

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