Information Collection

Carbapenemase-Producing Orgranism (CPO) Screening in Jurisdiction - Annual Evaluation and Performance Measurement Report

IC 271442 under ICR 202409-0920-016 · OMB 0920-1310.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1310 can be found here:

Documents and Forms

Document Name Document Type
Form I6 Carbapenemase-Producing Orgranism (CPO) Screening in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
I6 Carbapenemase-Producing Organism (CPO) Screening in Juri Attachment 2f_I.6- CARBAPENEMASE-PRODUCING ORGANISM (CPO) SCREENING IN JURISDICTION- AEPMR.docx Form and Instruction
I6 Carbapenemase-Producing Organism (CPO) Screening in Juri Attachment 2f_I.6- CARBAPENEMASE-PRODUCING ORGANISM (CPO) SCREENING IN JURISDICTION- AEPMR.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Carbapenemase-Producing Orgranism (CPO) Screening in Jurisdiction - Annual Evaluation and Performance Measurement Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	I6	Carbapenemase-Producing Organism (CPO) Screening in Jurisdiction	Attachment 2f_I.6- CARBAPENEMASE-PRODUCING ORGANISM (CPO) SCREENING IN JURISDICTION- AEPMR.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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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