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HAIC CDI Case Report Form
[NCEZID] Emerging Infections Program
OMB: 0920-0978
IC ID: 217334
OMB.report
HHS/CDC
OMB 0920-0978
ICR 202309-0920-002
IC 217334
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0978 can be found here:
2023-12-29 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form CS 342179-A
HAIC CDI Case Report Form
Form and Instruction
CS 342179-A CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT
Att15_HAIC_2024 CDI CRF.pdf
Form and Instruction
Information Collection (IC) Details
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