[NCEZID] Emerging Infections Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HAIC.400.14 HAIC MuGSI KPC and NDM treatment collection form	Form and Instruction	Unchanged	Available
Form HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project	Form and Instruction	Unchanged	Available
Form HAIC.400.3 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey	Form and Instruction	Modified	Available
Form HAIC.400.2 Community-Associated CP-CRE Interview	Form and Instruction	Unchanged	Available
Form HAIC.400.12 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE	Form and Instruction	Unchanged	Available
Form HAIC.400.6 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey	Form and Instruction	Unchanged	Available
Form HAIC.400.5 CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey	Form and Instruction	Modified	Available
Form HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey	Form and Instruction	Unchanged	Available
Form HAIC.400.9 HAIC Surveillance Officer’s Survey	Form and Instruction	Modified	Available
Form HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection	Form and Instruction	Modified	Available
Form FSN.300.4 FluSurv-NET Laboratory Survey	Form	Modified	Available
Form FN.200.10 FoodNET Lab Survey Variable List	Form	Unchanged	Available
Form HAIC.400.11 CANDIDEMIA CASE REPORT FORM	Form and Instruction	Unchanged	Available
Form HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report	Form and Instruction	Modified	Available
Form FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM	Form and Instruction	Modified	Available
Form HAIC.400.1 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report	Form and Instruction	Modified	Available
Form HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT	Form and Instruction	Modified	Available
Form FN.200.8 FoodNet Variable List_ (YERSINIA)	Form and Instruction	Unchanged	Available
Form FN.200.7 FoodNet Variable List_ (VIBRIO)	Form and Instruction	Unchanged	Available
Form FN.200.6 FoodNet Variable List_ (SHIGELLA)	Form and Instruction	Unchanged	Available
Form FN.200.5 FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)	Form and Instruction	Unchanged	Available
Form FN.200.4 FoodNet Variable List_ (SALMONELLA)	Form and Instruction	Unchanged	Available
Form FN.200.3 FoodNet Variable List,_ (LISTERIA MONOCYTOGENES)	Form and Instruction	Unchanged	Available
Form FN.200.2 FoodNet Variable List_ (CYCLOSPORA)	Form and Instruction	Unchanged	Available
Form FN.200.1 FoodNet Variable List_ (CAMPYLOBACTER)	Form and Instruction	Unchanged	Available
Form FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW	Form and Instruction	Modified	Available
Form FN.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form	Form and Instruction	Unchanged	Available
Form FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form	Form and Instruction	Modified	Available
Form ABC 100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM	Form and Instruction	Modified	Available
Form ABC 100.2 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years)	Form and Instruction	Unchanged	Available
Form ABC.100.1 Active Bacterial Core Surveillance (ABCs) Case Report	Form and Instruction	Modified	Available
EIP 0920-0978_Non-sub change request_April2026_correctedfinal.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2026-04-21	Available
Att 2_Collection Instrument Cross walk_2026nonsub.docx	Supplementary Document	Uploaded 2026-04-21	Available
Att 1_Explanation for Program Changes or Adjustments_2026 non-sub.docx	Supplementary Document	Uploaded 2026-04-21	Available
2. Supporting Statement Part B_EIP OMB Revision_09162025.docx	Supporting Statement B	Uploaded 2025-11-20	Available
1. Supporting Statement Part A_EIP OMB Revision_01052026.docx	Supporting Statement A	Uploaded 2026-01-09	Available
Att. 5-Explanation for Program Changes_SSA.docx	Supplementary Document	Uploaded 2026-01-09	Available
Att. 4-Human Subjects Determination Memo.pdf	Supplementary Document	Uploaded 2025-11-20	Available
Att. 3- 20250916_EIP_PIA.pdf	Supplementary Document	Uploaded 2025-11-20	Available
Att. 2-Federal Register 60day FRN 2025-13102.pdf	Supplementary Document	Uploaded 2025-11-20	Available
Att. 1-Section 301 of the Public Health Service Act (42 USC 241).pdf	Supplementary Document	Uploaded 2025-11-20	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
278146	HAIC MuGSI KPC and NDM Treatment Collection Form	Form and Instruction	Unchanged	HAIC MuGSI KPC and NDM treatment collection form
253051	Data Elements Transferred to CDC for the HAIC Death Ascertainment Project	Form and Instruction	Unchanged	Data Elements Transferred to CDC for the HAIC Death Ascertainment Project
253049	HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey	Form and Instruction	Modified	HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey
253048	Community-Associated CP-CRE Interview	Form and Instruction	Unchanged	Community-Associated CP-CRE Interview
235058	HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE	Form and Instruction	Unchanged	LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE
235057	HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey	Form and Instruction	Unchanged	HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
235056	CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey	Form and Instruction	Modified	CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey
235055	Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey	Form and Instruction	Unchanged	Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey
235054	HAIC-Surveillance Officer's Survey	Form and Instruction	Modified	HAIC Surveillance Officer’s Survey
235053	Annual Survey of Laboratory Testing Practices for C. difficile Infection	Form and Instruction	Modified	Annual Survey of Laboratory Testing Practices for C. difficile Infection
235052	FluSurv-NET Laboratory Survey	Form	Modified	FluSurv-NET Laboratory Survey
235051	FoodNET Lab Survey Variable List	Form	Unchanged	FoodNET Lab Survey Variable List
231114	CANDIDEMIA CASE REPORT FORM	Form and Instruction	Unchanged	CANDIDEMIA CASE REPORT FORM
231113	Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report	Form and Instruction	Modified	Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report
231111	FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM	Form and Instruction	Modified	FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM
217336	(MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report	Form and Instruction	Modified	Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report
217334	CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT	Form and Instruction	Modified	CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT
207663	FoodNet Variable List_ (YERSINIA)	Form and Instruction	Unchanged	FoodNet Variable List_ (YERSINIA)
207662	FoodNet Variable List_ (VIBRIO)	Form and Instruction	Unchanged	FoodNet Variable List_ (VIBRIO)
207661	FoodNet Variable List_ (SHIGELLA)	Form and Instruction	Unchanged	FoodNet Variable List_ (SHIGELLA)
207660	FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)	Form and Instruction	Unchanged	FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)
207659	FoodNet Variable List_ (SALMONELLA)	Form and Instruction	Unchanged	FoodNet Variable List_ (SALMONELLA)
207658	FoodNet Variable List_ (LISTERIA MONOCTOGENES)	Form and Instruction	Unchanged	FoodNet Variable List,_ (LISTERIA MONOCYTOGENES)
207657	FoodNet Variable List_ (CYCLOSPORA)	Form and Instruction	Unchanged	FoodNet Variable List_ (CYCLOSPORA)
207655	FoodNet Variable List_(CAMPYLOBACTER)	Form and Instruction	Unchanged	FoodNet Variable List_ (CAMPYLOBACTER)
207653	FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish)	Form and Instruction	Modified	FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW
207652	FoodNet Hemolytic Uremic Syndrome (HUS)	Form and Instruction	Unchanged	FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form
207651	FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form	Form and Instruction	Modified	Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form
207649	Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form	Form and Instruction	Modified	ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM
207648	ABCs Invasive Pneumococcal Disease in Children and Adults	Form and Instruction	Unchanged	ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years)
207646	Active Bacterial Core Surveillance (ABCs) Case Report	Form and Instruction	Modified	Active Bacterial Core Surveillance (ABCs) Case Report

ICR Details

OMB Control No: 0920-0978	ICR Reference No: 202604-0920-003
Status: Received in OIRA	Previous ICR Reference No: 202509-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0183
Title: [NCEZID] Emerging Infections Program
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 04/22/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	01/31/2029	01/31/2029
Responses	84,146	89,088
Time Burden (Hours)	38,269	40,733
Cost Burden (Dollars)	0	0

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Abstract: The Emerging Infections Programs (EIP) is to 1) detect and monitor emerging pathogens, the diseases they cause, and the factors influencing their emergence, and respond to problems as they are identified, 2) integrate laboratory science and epidemiology to optimize public health practice, 3) strengthen infrastructure to support surveillance and research and to implement prevention and control programs, and to 4) ensure implementation of prevention strategies and communication of public health information about emerging diseases. Surveillance efforts of the core EIP activities generate reliable estimates of the incidence of certain infections and provide the foundation for a variety of epidemiologic studies. This Change Request includes minor changes to instruments.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 31204	07/14/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 47764	10/02/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 31

table that charts list of burden

IC Title	Form No.	Form Name
(MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report	HAIC.400.1	Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report
ABCs Invasive Pneumococcal Disease in Children and Adults	ABC 100.2	ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years)
Active Bacterial Core Surveillance (ABCs) Case Report	ABC.100.1	Active Bacterial Core Surveillance (ABCs) Case Report
Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form	ABC 100.5	ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM
Annual Survey of Laboratory Testing Practices for C. difficile Infection	HAIC.400.8	Annual Survey of Laboratory Testing Practices for C. difficile Infection
CANDIDEMIA CASE REPORT FORM	HAIC.400.11	CANDIDEMIA CASE REPORT FORM
CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey	HAIC.400.5	CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey
CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT	HAIC.400.7	CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT
Community-Associated CP-CRE Interview	HAIC.400.2	Community-Associated CP-CRE Interview
Data Elements Transferred to CDC for the HAIC Death Ascertainment Project	HAIC.400.13	Data Elements Transferred to CDC for the HAIC Death Ascertainment Project
Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey	HAIC.400.10	Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey
FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish)	FSN.300.2	FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW
FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM	FSN.300.3	FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM
FluSurv-NET Laboratory Survey	FSN.300.4	FluSurv-NET Laboratory Survey
FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form	FSN.300.1	Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form
FoodNET Lab Survey Variable List	FN.200.10	FoodNET Lab Survey Variable List
FoodNet Hemolytic Uremic Syndrome (HUS)	FN.200.9	FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form
FoodNet Variable List_ (CYCLOSPORA)	FN.200.2	FoodNet Variable List_ (CYCLOSPORA)
FoodNet Variable List_ (LISTERIA MONOCTOGENES)	FN.200.3	FoodNet Variable List,_ (LISTERIA MONOCYTOGENES)
FoodNet Variable List_ (SALMONELLA)	FN.200.4	FoodNet Variable List_ (SALMONELLA)
FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)	FN.200.5	FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)
FoodNet Variable List_ (SHIGELLA)	FN.200.6	FoodNet Variable List_ (SHIGELLA)
FoodNet Variable List_ (VIBRIO)	FN.200.7	FoodNet Variable List_ (VIBRIO)
FoodNet Variable List_ (YERSINIA)	FN.200.8	FoodNet Variable List_ (YERSINIA)
FoodNet Variable List_(CAMPYLOBACTER)	FN.200.1	FoodNet Variable List_ (CAMPYLOBACTER)
HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey	HAIC.400.6	HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
HAIC MuGSI KPC and NDM Treatment Collection Form	HAIC.400.14	HAIC MuGSI KPC and NDM treatment collection form
HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey	HAIC.400.3	HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey
HAIC-Surveillance Officer's Survey	HAIC.400.9	HAIC Surveillance Officer’s Survey
HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE	HAIC.400.12	LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE
Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report	HAIC.400.4	Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	84,146	89,088	0	-4,942	0	0
Annual Time Burden (Hours)	38,269	40,733	0	-2,464	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Some of the respondents and responses were adjusted for accuracy.

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Annual Cost to Federal Government: $41,699,051

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/22/2026

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