Triazole-resistant Aspergillus fumigatus Case Report Form

[NCEZID] Characteristics of Cases of Priority Fungal Diseases

OMB: 0920-1385

IC ID: 254011

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Triazole-resistant Aspergillus fumigatus Case Report Form 0920-1385
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Triazole-resistant Aspergillus fumigatus Case Report Form Att 3a- Triazole-resistant Aspergillus fumigatus Case Report Form.docx Yes Yes Fillable Fileable
Form and Instruction n/a Triazole-resistant Aspergillus fumigatus Case Report Form rev Att 3a- Triazole-resistant Aspergillus fumigatus Case Report Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

15 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 225 0 210 0 0 15
Annual IC Time Burden (Hours) 113 0 105 0 0 8
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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