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Information Collection

57.600 - Neonatal Component Late Onset Sepsis Meningitis (LOSMEN) Module CDA Data Collection-Infection Preventionist

IC 263464 under ICR 202603-0920-006 · OMB 0920-0666.

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Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

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57.600 - Neonatal Component Late Onset Sepsis Meningitis (LOSMEN) Module CDA Data Collection-Infection Preventionist 0920-0666
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.600 Reporting Plan LOSMEN 57.600 CDA Data Collection.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,500 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 66,000 0 0 0 0 66,000
Annual IC Time Burden (Hours) 2,200 0 0 0 0 2,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form Information only 57.600 Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-Infection Preventionist.docx 11/04/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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