Information Collection

57.108 Primary Bloodstream Infection (BSI)

IC 183545 under ICR 202408-0920-016 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 57.108 57.108 Primary Bloodstream Infection (BSI)	Form and Instruction
57.108 Primary Bloodstream Infection (BSI) 57.108_PrimaryBSI_November_2022.docx	Form and Instruction
57.108 Primary Bloodstream Infection (BSI) 57.108_PrimaryBSI_November_2022.docx	Form and Instruction
57.108_PrimaryBSI_November_2022.docx 57.108 BSI with GISAB edits in tracked changes	IC Document
57.108_PrimaryBSI_November_2022.docx 57.108 BSI with GISAB edits in tracked changes	IC Document

IC Title:

57.108 Primary Bloodstream Infection (BSI)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

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	57.108	Primary Bloodstream Infection (BSI)	57.108_PrimaryBSI_November_2022.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,775

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	28,875	28,875
Annual IC Time Burden (Hours)	18,769	18,769
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
57.108 BSI with GISAB edits in tracked changes	57.108_PrimaryBSI_November_2022.docx	04/24/2023

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