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Triazole-resistant Aspergillus fumigatus Case Report Form

IC 254011 under ICR 202501-0920-004 · OMB 0920-1385.

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Triazole-resistant Aspergillus fumigatus Case Report Form 0920-1385
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1385 Triazole-resistant Aspergillus fumigatus case reporting Att 3a Clean_Triazole-resistant Aspergillus fumigatus Case Report Form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

15 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 225 0 0 0 0 225
Annual IC Time Burden (Hours) 113 0 0 0 0 113
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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