Information Collection

AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing)

IC 258566 under ICR 202302-0920-008 · OMB 0920-1310.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 12 AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing)	Form and Instruction
Form 12 AR Lab Network Alert and Monthly Data Report Form for Ph Attachment 3l Form 12 AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris WGS).docx	Form and Instruction
Form 12 AR Lab Network Alert and Monthly Data Report Form for Ph Attachment 3l Form 12 AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris WGS).docx	Form and Instruction

IC Title:

AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (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:

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	Form 12	AR Lab Network Alert and Monthly Data Report Form for Phylogentic Tree-level Mycotics Reporting (C. auris WGS)	Attachment 3l Form 12 AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.