[NCEZID] Public Health Laboratory Testing for Emerging Antibiotic Resistance and Fungal Threats

OMB 0920-1310

Antibiotic resistance has the potential to impact all Americans at every stage of life and CDC is working to drive aggressive action and empower the nation to comprehensively respond to these threats. The goal of this study is to establish a network of public health laboratories to improve detection and characterization of urgent antibiotic resistant threats in healthcare-associated infections, carbapenem-resistant Enterobacteriaceae (CRE), carbapenem-resistant Pseudomonas aeruginosa (CRPA), carbapenem-resistant Acinetobacter baumannii (CRAB), and Candida species, including C. auris.

The latest form for [NCEZID] Public Health Laboratory Testing for Emerging Antibiotic Resistance and Fungal Threats expires 2023-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Form 12 AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing) Form and Instruction
Form Form 11 AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing) Form and Instruction
Form Form 10 Annual Evaluation and Performance Measurement Report (C. auris Whole Genome Sequencing) Form and Instruction
Form Form 9 AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae Form and Instruction
Form Form 8 Annual Evaluation and Performance Measurement Report (Neisseria gonorrhoeae) Form and Instruction
Form Form 7 AR Lab network Alert Report Form for C auris Form and Instruction
Form Form 6 Monthly Data Report Form Candida Form and Instruction
Form Form 5 Annual evaluation and Performance Measurement Report (Candida) Form and Instruction
Form Form 4 AR Lab network Alert Report Form for Bacterial Specimen Testing Form and Instruction
Form Form 3 Monthly Data Report Form for Bacterial Specimen Testing Form and Instruction
Form Form 2 Annual Eval and Performance Measurement Report for Bacterial Specimen Testing Form and Instruction
Form Form 1 Annual Report of Bacterial Specimen Testing Methods Form and Instruction
Attachment 9 Privacy Impact Assessment.pdf Supplementary Document
Attachment 8 Human Subjects Exemption.pdf Supplementary Document
Attachment 7 Summary of Candida Reporting by States.docx Supplementary Document
Attachment 6 ELC ARLN State Testing Activities.pdf Supplementary Document
Attachment 5 Summary of CRE, CRPA, and CRAB Reporting by States.docx Supplementary Document
Attachment 2 60-day Federal Register.pdf Supplementary Document
Attachment 1d Public Health Service Act.pdf Supplementary Document
Attachment 1c National_action_plan_for_combating_antibotic-resistant_bacteria.pdf Supplementary Document
Attachment 1b The National Strategy for Combating Antibiotic Resistant Bacteria.pdf Supplementary Document
Attachment 1a Executive Order 13676.pdf Supplementary Document
2. Supporting Statement B_final.docx Supporting Statement B
1. Supporting Statement A_final.docx Supporting Statement A
AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing) Form and Instruction
AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing) Form and Instruction
Annual Evaluation and Performance Measurement Report (C. auris Whole Genome Sequencing) Form and Instruction
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae Form and Instruction
Annual Evaluation and Performance Measurement Report (Neisseria gonorrhoeae) Form and Instruction
AR Lab network Alert Report Form for C auris Form and Instruction
Monthly Data Report Form Candida Form and Instruction
Annual evaluation and Performance Measurement Report (Candida) Form and Instruction
AR Lab network Alert Report Form for Bacterial Specimen Testing Form and Instruction
Monthly Data Report Form for Bacterial Specimen Testing Form and Instruction
Annual Eval and Performance Measurement Report for Bacterial Specimen Testing Form and Instruction
Annual Report of Bacterial Specimen Testing Methods Form and Instruction

All Historical Document Collections

202302-0920-008 Approved without change	Revision of a currently approved collection	2023-02-28
201912-0920-013 Approved with change	Existing collection in use without an OMB Control Number	2020-01-27

OMB Details

Annual Report of Bacterial Specimen Testing Methods

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-19AYV

Annual Report of Bacterial Specimen Testing Methods

Fillable Fileable

Form and instruction

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