Information Collection

[OADPS/NCEZID] HAI/IR Programs (2023-2025)

IC 261311 under ICR 202506-0920-009 · OMB 0920-1282.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1282 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1282 [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 0920-1282 Form 1 - HAI/AR Response & Prevention Performance Measures PM1 - PM5 [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 0920-1282 Form 2-1 - HAI/AR Performance Measures (SHARP Project III; Antibiotic Stewardship [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 0920-1282 Form 3 - HAI/AR Performance Measures (SHARP Project IV; NHSN) [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; Project Firstline) [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 0920-1282 Form 5 - HAI/AR Program Staffing Directory [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form
Form 2-2 - HAI/AR Performance Measures (SHARP Project III; Antibiotic Stewardship [OADPS/NCEZID] HAI/IR Programs (2023-2025)	Form and Instruction
0920-1282 Form 1 - HAI/AR Response & Prevention Performance Measur [NCEZID] - Data Reporting [Form 1] [revision 2024-2026] [03-17-2025].pdf	Form
0920-1282 Form 1 - HAI/AR Response & Prevention Performance Measur [NCEZID] - Data Reporting [Form 1] [revision 2024-2026] [03-17-2025].pdf	Form
0920-1282 Form 2-1 - HAI/AR Performance Measures (SHARP Project II [NCEZID] - Data Reporting [Form 2 - 1] [revision 2024-2026] [03-17-2025].pdf	Form
0920-1282 Form 2-1 - HAI/AR Performance Measures (SHARP Project II [NCEZID] - Data Reporting [Form 2 - 1] [revision 2024-2026] [03-17-2025].pdf	Form
0920-1282 Form 3 - HAI/AR Performance Measures (SHARP Project IV; [NCEZID] - Data Reporting [Form 3] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 3 - HAI/AR Performance Measures (SHARP Project IV; [NCEZID] - Data Reporting [Form 3] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; P [NCEZID] - Data Reporting [Form 4] [revision 2024-2026] [03-17-2025].pdf	Form
0920-1282 Form 4 - HAI/AR Performance Measures (SHARP Project V; P [NCEZID] - Data Reporting [Form 4] [revision 2024-2026] [03-17-2025].pdf	Form
0920-1282 Form 5 - HAI/AR Program Staffing Directory [NCEZID] - Data Reporting [Form 5] [new 2023-2025] [07-26-2023].pdf	Form
0920-1282 Form 5 - HAI/AR Program Staffing Directory [NCEZID] - Data Reporting [Form 5] [new 2023-2025] [07-26-2023].pdf	Form
Form 2-2 - HAI/AR Performance Measures (SHARP Project II [NCEZID] - Data Reporting [Form 2 - 2] [revision 2024-2026] [03-17-2025].pdf	Form and Instruction
Form 2-2 - HAI/AR Performance Measures (SHARP Project II [NCEZID] - Data Reporting [Form 2 - 2] [revision 2024-2026] [03-17-2025].pdf	Form and Instruction
[NCEZID] - GenIC Request [new 2023-2025] [07-26-2023].pdf 0920-1282 GenIC Request Template	IC Document
[NCEZID] - GenIC Request [new 2023-2025] [07-26-2023].pdf 0920-1282 GenIC Request Template	IC Document
[NCEZID] - Funding awards by recipient [new 2023-2025] [07-26-2023].docx Funding Awards by Recipient	IC Document
[NCEZID] - Funding awards by recipient [new 2023-2025] [07-26-2023].docx Funding Awards by Recipient	IC Document
[NCEZID] - REDCap form cover page [new 2023-2025] [07-26-2023].docx REDCap Form - cover page	IC Document
[NCEZID] - REDCap form cover page [new 2023-2025] [07-26-2023].docx REDCap Form - cover page	IC Document
[NCEZID] - Sample Email [new 2023-2025] [07-26-2023].docx Sample Email	IC Document
[NCEZID] - Sample Email [new 2023-2025] [07-26-2023].docx Sample Email	IC Document
[NCEZID] - Technical specifications [new 2023-2025] [07-26-2023].docx Technical Specifications	IC Document
[NCEZID] - Technical specifications [new 2023-2025] [07-26-2023].docx Technical Specifications	IC Document
NCEZID - GenIC Request revision 2024-2026 03-17-2025_Updated_final.docx GenIC Request Template Updated	IC Document
NCEZID - GenIC Request revision 2024-2026 03-17-2025_Updated_final.docx GenIC Request Template Updated	IC Document
Change-Memo-03 17 2025.docx Change Request Justification	IC Document
Change-Memo-03 17 2025.docx Change Request Justification	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[OADPS/NCEZID] HAI/IR Programs (2023-2025)

Agency IC Tracking Number:

0920-25-0105

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-1282	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	NA	Yes	Yes	Fillable Fileable
Form	0920-1282	NA	Yes	Yes	Fillable Fileable
Form and Instruction	n/a		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 336

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	672	39	633
Annual IC Time Burden (Hours)	1,545	122	1,423
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
0920-1282 GenIC Request Template		07/31/2023
Funding Awards by Recipient		07/31/2023
REDCap Form - cover page		07/31/2023
Sample Email		07/31/2023
Technical Specifications		07/31/2023
GenIC Request Template Updated		06/17/2025
Change Request Justification		06/17/2025

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

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