Information Collection

57.128 Laboratory Identified or CDI MDRO Event

IC 183563 under ICR 202603-0920-006 · OMB 0920-0666.

Documents and Forms

Document Name Document Type
Form 57.128 Laboratory-identified MDRO or CDI Event 57.128 Laboratory Identified or CDI MDRO Event Form
57.128 Laboratory-identified MDRO or CDI Event 57.128 LabID Event Clean Version.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	57.128 Laboratory Identified or CDI MDRO Event	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	57.128	Laboratory-identified MDRO or CDI Event	57.128 LabID Event Clean Version.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,800	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	57,600	0	57,600
Annual IC Time Burden (Hours)	22,080	-960	23,040
Annual IC Cost Burden (Dollars)	0	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].