Information Collection

AR Lab Network Alert Report Form for Carbapenemase-producing Organisms

IC 239436 under ICR 202602-0920-013 · OMB 0920-1310.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
AR Lab Network Alert Report Form for Carbapenemase-producing Organisms AR Lab Network Alert Report Form for Carbapenemase-producing Organisms	Form and Instruction
Form 0920-1310 AR Lab Network Alert Report Form for Carbapenemase-producing Organisms AR Lab Network Alert Report Form for Carbapenemase-producing Organisms	Form and Instruction
AR Lab Network Alert Report Form for Carbapenemase-produ Attachment 3c_AR Lab Network Alert Report Form for Carbapenemase-producing Organisms.docx	Form and Instruction
0920-1310 AR Lab Network Alert Report Form for Carbapenemase-produ Attachment 3c_AR Lab Network Alert Report Form for Carbapenemase-producing Organisms_clean.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	0920-1310			N/A	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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	12,198	0	12,198
Annual IC Time Burden (Hours)	407	-203	610
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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