OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Clostridioides Difficile Infection (cdi) Surveillance Emerging Infections Program Case Report

IC 217334 under ICR 202604-0920-003 · OMB 0920-0978.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form HAIC.400.7
CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT		 Form and Instruction
HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EM
HAIC.400.7 CDI Case Report Form- 2027.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

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 HAIC.400.7 N/A Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 14,300 0 -2,200 0 0 16,500
Annual IC Time Burden (Hours) 9,057 0 -1,393 0 0 10,450
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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