OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NCEZID] Emerging Infections Program

OMB 0920-0978 · HHS/CDC.

OMB 0920-0978

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 Revision includes adding and deleting forms and other minor changes to forms and documents.

The latest form for [NCEZID] Emerging Infections Program expires 2029-01-31 and is listed under ICR 202509-0920-011.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form HAIC.400.14 HAIC MuGSI KPC and NDM treatment collection formForm and Instruction
Form HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment ProjectForm and Instruction
Form HAIC.400.3 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer SurveyForm and Instruction
Form HAIC.400.2 Community-Associated CP-CRE InterviewForm and Instruction
Form HAIC.400.12 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIREForm and Instruction
Form HAIC.400.6 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer SurveyForm and Instruction
Form HAIC.400.5 CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory SurveyForm and Instruction
Form HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone SurveyForm and Instruction
Form HAIC.400.9 HAIC Surveillance Officer’s SurveyForm and Instruction
Form HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile InfectionForm and Instruction
Form FSN.300.4 FluSurv-NET Laboratory SurveyForm
Form FN.200.10 FoodNET Lab Survey Variable ListForm
Form HAIC.400.11 CANDIDEMIA CASE REPORT FORMForm and Instruction
Form HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case ReportForm and Instruction
Form FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORMForm and Instruction
Form HAIC.400.1 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case ReportForm and Instruction
Form HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORTForm and Instruction
Form FN.200.8 FoodNet Variable List_ (YERSINIA)Form and Instruction
Form FN.200.7 FoodNet Variable List_ (VIBRIO)Form and Instruction
Form FN.200.6 FoodNet Variable List_ (SHIGELLA)Form and Instruction
Form FN.200.5 FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)Form and Instruction
Form FN.200.4 FoodNet Variable List_ (SALMONELLA)Form and Instruction
Form FN.200.3 FoodNet Variable List,_ (LISTERIA MONOCYTOGENES)Form and Instruction
Form FN.200.2 FoodNet Variable List_ (CYCLOSPORA)Form and Instruction
Form FN.200.1 FoodNet Variable List_ (CAMPYLOBACTER)Form and Instruction
Form FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEWForm and Instruction
Form FN.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report FormForm and Instruction
Form FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report FormForm and Instruction
Form ABC 100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORMForm and Instruction
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
Form ABC.100.1 Active Bacterial Core Surveillance (ABCs) Case ReportForm and Instruction
EIP 0920-0978_Non-sub change request_April2026_correctedfinal.docxJustification for No Material/Nonsubstantive Change
Att 2_Collection Instrument Cross walk_2026nonsub.docxSupplementary Document
Att 1_Explanation for Program Changes or Adjustments_2026 non-sub.docxSupplementary Document
2. Supporting Statement Part B_EIP OMB Revision_09162025.docxSupporting Statement B
1. Supporting Statement Part A_EIP OMB Revision_01052026.docxSupporting Statement A
Att. 5-Explanation for Program Changes_SSA.docxSupplementary Document
Att. 4-Human Subjects Determination Memo.pdfSupplementary Document
Att. 3- 20250916_EIP_PIA.pdfSupplementary Document
Att. 2-Federal Register 60day FRN 2025-13102.pdfSupplementary Document
Att. 1-Section 301 of the Public Health Service Act (42 USC 241).pdfSupplementary Document
HAIC MuGSI KPC and NDM Treatment Collection Form Form and Instruction
Data Elements Transferred to CDC for the HAIC Death Ascertainment Project Form and Instruction
HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction
Community-Associated CP-CRE Interview Form and Instruction
HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE Form and Instruction
HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey Form and Instruction
CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey Form and Instruction
Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey Form and Instruction
HAIC-Surveillance Officer's Survey Form and Instruction
Annual Survey of Laboratory Testing Practices for C. difficile Infection Form and Instruction
FluSurv-NET Laboratory Survey Form
FoodNET Lab Survey Variable List Form
CANDIDEMIA CASE REPORT FORM Form and Instruction
Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report Form and Instruction
FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM Form and Instruction
(MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report Form and Instruction
CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT Form and Instruction
FoodNet Variable List_ (YERSINIA) Form and Instruction
FoodNet Variable List_ (VIBRIO) Form and Instruction
FoodNet Variable List_ (SHIGELLA) Form and Instruction
FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI) Form and Instruction
FoodNet Variable List_ (SALMONELLA) Form and Instruction
FoodNet Variable List_ (LISTERIA MONOCTOGENES) Form and Instruction
FoodNet Variable List_ (CYCLOSPORA) Form and Instruction
FoodNet Variable List_(CAMPYLOBACTER) Form and Instruction
FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) Form and Instruction
FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction
FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form Form and Instruction
Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Form and Instruction
ABCs Invasive Pneumococcal Disease in Children and Adults Form and Instruction
Active Bacterial Core Surveillance (ABCs) Case Report Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202604-0920-003 No material or nonsubstantive change to a currently approved collection 2026-04-22
202509-0920-011 Revision of a currently approved collection 2025-11-21
202505-0920-009 No material or nonsubstantive change to a currently approved collection 2025-06-03 Approved without change
202504-0920-028 No material or nonsubstantive change to a currently approved collection 2025-05-01
202410-0920-009 No material or nonsubstantive change to a currently approved collection 2024-10-09 Approved with change
202406-0920-004 Revision of a currently approved collection 2024-07-26 Approved without change
202312-0920-011 No material or nonsubstantive change to a currently approved collection 2023-12-29 Approved with change
202309-0920-002 No material or nonsubstantive change to a currently approved collection 2023-09-12 Improperly submitted and continue
202302-0920-009 No material or nonsubstantive change to a currently approved collection 2023-03-01 Approved without change
202204-0920-008 Revision of a currently approved collection 2022-04-25 Approved without change
202112-0920-010 No material or nonsubstantive change to a currently approved collection 2021-12-15 Approved without change
202108-0920-013 No material or nonsubstantive change to a currently approved collection 2021-08-26 Approved without change
202011-0920-004 No material or nonsubstantive change to a currently approved collection 2020-11-16 Approved with change
202009-0920-004 No material or nonsubstantive change to a currently approved collection 2020-09-09 Approved without change
202007-0920-014 No material or nonsubstantive change to a currently approved collection 2020-07-29 Approved with change
202006-0920-015 No material or nonsubstantive change to a currently approved collection 2020-06-25 Approved without change
201910-0920-008 No material or nonsubstantive change to a currently approved collection 2019-10-29 Approved with change
201902-0920-001 Revision of a currently approved collection 2019-02-27 Approved without change
201808-0920-022 No material or nonsubstantive change to a currently approved collection 2018-08-30 Approved with change
201805-0920-010 No material or nonsubstantive change to a currently approved collection 2018-06-05 Approved without change
201803-0920-010 Revision of a currently approved collection 2018-04-25 Approved without change
201801-0920-004 No material or nonsubstantive change to a currently approved collection 2018-01-24 Approved without change
201705-0920-001 No material or nonsubstantive change to a currently approved collection 2017-05-04 Approved without change
201612-0920-015 No material or nonsubstantive change to a currently approved collection 2016-12-30 Approved without change
201603-0920-001 No material or nonsubstantive change to a currently approved collection 2016-03-02 Approved without change
201507-0920-003 Revision of a currently approved collection 2015-07-13 Approved with change
201502-0920-009 No material or nonsubstantive change to a currently approved collection 2015-02-17 Approved without change
201501-0920-018 No material or nonsubstantive change to a currently approved collection 2015-01-22 Withdrawn and continue
201402-0920-016 No material or nonsubstantive change to a currently approved collection 2014-02-28 Approved without change
201309-0920-007 No material or nonsubstantive change to a currently approved collection 2013-09-19 Approved without change
201307-0920-003 New collection (Request for a new OMB Control Number) 2013-07-08 Approved without change

OMB Details

Active Bacterial Core Surveillance (ABCs) Case Report

Federal Enterprise Architecture: Health - Consumer Health and Safety

Information collection instruments
FormNameElectronic accessType
Form ABC.100.1Active Bacterial Core Surveillance (ABCs) Case ReportFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.