Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form

[NCEZID] Emerging Infections Program

Documents and Forms

Document Name Document Type
Form ABC.100.5 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Form and Instruction
Form ABC.100.5 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Form and Instruction
ABC.100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFEC ABC.100.5 ABCs Neonatal Infection Expanded Tracking Form.pdf Form and Instruction
ABC.100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFEC ABC.100.5 ABCs Neonatal Infection Expanded Tracking Form.pdf Form and Instruction
ABC 100.5 2025 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL ABC.100.5 ABCs Neonatal Infection Expanded Tracking Form.pdf Form and Instruction
ABC 100.5 2025 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL ABC.100.5 ABCs Neonatal Infection Expanded Tracking Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form	Agency IC Tracking Number:	0920-0978

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 42 CFR 301 Public Health Service Act

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	ABC.100.5	ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM	ABC.100.5 ABCs Neonatal Infection Expanded Tracking Form.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	ABC 100.5	2025 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM	ABC.100.5 ABCs Neonatal Infection Expanded Tracking Form.pdf	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	370	370
Annual IC Time Burden (Hours)	123	123
Annual IC Cost Burden (Dollars)	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.