AR Lab Network Alert Report Form for Carbapenemase-producing Organisms

[NCEZID] Public Health Laboratory Testing for Emerging Antibiotic Resistance and Fungal Threats

Documents and Forms

Document Name Document Type
AR Lab Network Alert Report Form for Carbapenemase-producing Organisms Form and Instruction
AR Lab Network Alert Report Form for Carbapenemase-produ Attachment 3c_AR Lab Network Alert Report Form for Carbapenemase-producing Organisms.docx Form and Instruction

Information Collection (IC) Details

IC Title:	AR Lab Network Alert Report Form for Carbapenemase-producing Organisms	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	AR Lab Network Alert Report Form for Carbapenemase-producing Organisms	Attachment 3c_AR Lab Network Alert Report Form for Carbapenemase-producing Organisms.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,198	10,294	1,904
Annual IC Time Burden (Hours)	610	420	190
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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