Information Collection

(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring

IC 264809 under ICR 202507-0920-004 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring	Form and Instruction
Antifungal TDM Focus Group Screener (NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring	Form and Instruction
Antifungal TDM Focus Group Guide (NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring	Form and Instruction
Antifungal TDM Focus Group Screener Attachment 1-WS-CDC DFWED_Focus Group Screener_Antifungal TDM_1.10.24_FINAL.docx	Form and Instruction
Antifungal TDM Focus Group Screener Attachment 1-WS-CDC DFWED_Focus Group Screener_Antifungal TDM_1.10.24_FINAL.docx	Form and Instruction
Antifungal TDM Focus Group Guide Attachment 3-WS-CDC DFWED_Focus Group Guide_Antifungal TDM_1.16.24_FINAL.docx	Form and Instruction
Antifungal TDM Focus Group Guide Attachment 3-WS-CDC DFWED_Focus Group Guide_Antifungal TDM_1.16.24_FINAL.docx	Form and Instruction
Attachment 2-WS-CDC DFWED_Focus Group Consent Form_Antifungal TDM_1.10.24_FINAL.docx Consent Form	IC Document
Attachment 2-WS-CDC DFWED_Focus Group Consent Form_Antifungal TDM_1.10.24_FINAL.docx Consent Form	IC Document
Attachment 4-Human Subjects Determination.pdf Research Determination	IC Document
Attachment 4-Human Subjects Determination.pdf Research Determination	IC Document
GenIC Request_Antifungal TDM_1.10.24_FINAL.docx GenIC Request Template	IC Document
GenIC Request_Antifungal TDM_1.10.24_FINAL.docx GenIC Request Template	IC Document
Supporting Statement A_Antifungal TDM_1.10.24_FINAL_final.docx SSA	IC Document
Supporting Statement A_Antifungal TDM_1.10.24_FINAL_final.docx SSA	IC Document
Supporting Statement B_Antifungal TDM_1.9.24_FINAL.docx SSB	IC Document
Supporting Statement B_Antifungal TDM_1.9.24_FINAL.docx SSB	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring

Agency IC Tracking Number:

0920-1154-24CK

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				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: 264

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	264	264
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Consent Form		01/30/2024
Research Determination		01/30/2024
GenIC Request Template		01/30/2024
SSA		01/30/2024
SSB		01/30/2024

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

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