Information Collection Request
[NCEZID] Characteristics of Cases of Priority Fungal Diseases
ICR 202402-0920-008 · OMB 0920-1385 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1385 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Antifungal-resistant dermatophytosis case report form |
Form and Instruction | New | Repair queued |
| Candida auris Case Report Form |
Form and Instruction | New | Repair queued |
| Blastomycosis Case Report Form |
Form and Instruction | New | Repair queued |
| Histoplasmosis Case Report Form |
Form and Instruction | New | Repair queued |
| Coccidioidomycosis Case Report Form |
Form and Instruction | New | Repair queued |
| Triazole-resistant Aspergillus fumigatus Case Report Form |
Form and Instruction | Modified | Repair queued |
 Att. 5- Privacy Impact Assessment.pdf |
Supplementary Document | Uploaded 2024-03-14 | Repair queued |
| Att 4- Human Subjects Determination.pdf |
Supplementary Document | Uploaded 2024-03-14 | Repair queued |
| Att 2-Published 60-day FRN.pdf |
Supplementary Document | Uploaded 2024-03-14 | Repair queued |
| Att 1 Section 301 of the Public Health Service Act (42 USC 241).pdf |
Supplementary Document | Uploaded 2024-03-14 | Repair queued |
 Supporting Statement B.docx |
Supporting Statement B | Uploaded 2024-03-14 | Repair queued |
| Supporting Statement A_final.docx |
Supporting Statement A | Uploaded 2024-03-14 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266002 |  Antifungal-resistant dermatophytosis case report form |
Form and Instruction | New | |
| 266001 | Candida auris Case Report Form |
Form and Instruction | New | |
| 266000 | Blastomycosis Case Report Form |
Form and Instruction | New | |
| 265999 | Histoplasmosis Case Report Form |
Form and Instruction | New | |
| 265998 | Coccidioidomycosis Case Report Form |
Form and Instruction | New | |
| 254011 | Triazole-resistant Aspergillus fumigatus Case Report Form |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1385 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202205-0920-013 |
| Agency Tracking No | 0920-1385 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |