Information Collection

[OADPS/NCEZID] HAI/IR Programs (2023-2025)

IC 261311 under ICR 202406-0920-007 · OMB 0920-1282.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1282 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1282 [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 0920-1282 [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
0920-1282 Form 1 - HAI/AR Response & Prevention Performance Measur [NCEZID] - Data Reporting [Form 1] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 1 - HAI/AR Response & Prevention Performance Measur [NCEZID] - Data Reporting [Form 1] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 2 - HAI/AR Performance Measures (SHARP Project III; [NCEZID] - Data Reporting [Form 2] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 2 - HAI/AR Performance Measures (SHARP Project III; [NCEZID] - Data Reporting [Form 2] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 3 - HAI/AR Performance Measures (SHARP Project IV; [NCEZID] - Data Reporting [Form 3] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 3 - HAI/AR Performance Measures (SHARP Project IV; [NCEZID] - Data Reporting [Form 3] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; P [NCEZID] - Data Reporting [Form 4] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; P [NCEZID] - Data Reporting [Form 4] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 5 - HAI/AR Program Staffing Directory [NCEZID] - Data Reporting [Form 5] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 5 - HAI/AR Program Staffing Directory [NCEZID] - Data Reporting [Form 5] [new 2023-2025] [07-26-2023].pdf	Form
[NCEZID] - GenIC Request [new 2023-2025] [07-26-2023].pdf 0920-1282 GenIC Request Template	IC Document
[NCEZID] - GenIC Request [new 2023-2025] [07-26-2023].pdf 0920-1282 GenIC Request Template	IC Document
[NCEZID] - Funding awards by recipient [new 2023-2025] [07-26-2023].docx Funding Awards by Recipient	IC Document
[NCEZID] - Funding awards by recipient [new 2023-2025] [07-26-2023].docx Funding Awards by Recipient	IC Document
[NCEZID] - REDCap form cover page [new 2023-2025] [07-26-2023].docx REDCap Form - cover page	IC Document
[NCEZID] - REDCap form cover page [new 2023-2025] [07-26-2023].docx REDCap Form - cover page	IC Document
[NCEZID] - Sample Email [new 2023-2025] [07-26-2023].docx Sample Email	IC Document
[NCEZID] - Sample Email [new 2023-2025] [07-26-2023].docx Sample Email	IC Document
[NCEZID] - Technical specifications [new 2023-2025] [07-26-2023].docx Technical Specifications	IC Document
[NCEZID] - Technical specifications [new 2023-2025] [07-26-2023].docx Technical Specifications	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[OADPS/NCEZID] HAI/IR Programs (2023-2025)

Agency IC Tracking Number:

0920-1282-23HB

IC Status: Unchanged

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	0920-1282	Form 1 - HAI/AR Response & Prevention Performance Measures PM1 - PM5	[NCEZID] - Data Reporting [Form 1] [new 2023-2025] [07-26-2023].pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	Form 2 - HAI/AR Performance Measures (SHARP Project III; Antibiotic Stewardship	[NCEZID] - Data Reporting [Form 2] [new 2023-2025] [07-26-2023].pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	Form 3 - HAI/AR Performance Measures (SHARP Project IV; NHSN)	[NCEZID] - Data Reporting [Form 3] [new 2023-2025] [07-26-2023].pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	Form 4 - HAI/AR Performance Measures (SHARP Project V; Project Firstline)	[NCEZID] - Data Reporting [Form 4] [new 2023-2025] [07-26-2023].pdf	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	Form 5 - HAI/AR Program Staffing Directory	[NCEZID] - Data Reporting [Form 5] [new 2023-2025] [07-26-2023].pdf	NA	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 441

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
	Requested	Previously Approved
Annual Number of Responses for this IC	633	633
Annual IC Time Burden (Hours)	1,423	1,423
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1282 GenIC Request Template	[NCEZID] - GenIC Request [new 2023-2025] [07-26-2023].pdf	07/31/2023
Funding Awards by Recipient	[NCEZID] - Funding awards by recipient [new 2023-2025] [07-26-2023].docx	07/31/2023
REDCap Form - cover page	[NCEZID] - REDCap form cover page [new 2023-2025] [07-26-2023].docx	07/31/2023
Sample Email	[NCEZID] - Sample Email [new 2023-2025] [07-26-2023].docx	07/31/2023
Technical Specifications	[NCEZID] - Technical specifications [new 2023-2025] [07-26-2023].docx	07/31/2023

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