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

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1310 can be found here:

Documents and Forms

Document Name Document Type
Form Form 11 AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing) Form and Instruction
Form 11 AR Lab Network Alert and Monthly Data Report Form for is Attachment 3k Form 11 AR Lab Network Form for Isolate and Specimen-level Mycotics Testing (C. auris WGS).docx Form and Instruction
Form 11 AR Lab Network Alert and Monthly Data Report Form for is Attachment 3k Form 11 AR Lab Network Form for Isolate and Specimen-level Mycotics Testing (C. auris WGS).docx Form and Instruction

Information Collection (IC) Details

IC Title:	AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form 11	AR Lab Network Alert and Monthly Data Report Form for isolate and Specimen-level Mycotics Testing (C. auris WGS)	Attachment 3k Form 11 AR Lab Network Form for Isolate and Specimen-level Mycotics Testing (C. auris WGS).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	672	672
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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