[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 I21 Neisseria Ghonorrhoeae Etest for SHARP Form and Instruction
Form I20 Characterization of the Clinical Laboratory Network in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I19 Communication and Coordination of Actionable Epi Lab Data in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I18 Healthcare Wastewater-based Surveillance - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I17 Monitoring CRE CRPA in Companion Animals to from Humans - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I16 C. Auris Whole Genome Sequencing (WGS) in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I15 Molecular Mtb Testing- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I14 Mycoplasm Gentalium (MG)- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I13 Antimicrobial Susceptibility Testing (AST) of Invasive Haemophilus Influenzae (H. Influenzae) in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I12 Antifungal Resistant Tinea Dermatophytes - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I11 Clostridioides Difficile (C. Difficile) Testing in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I10 Whole Genome Sequencing (WGS) of S. Pneumonaie - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I9 Gonococcal (GC) Antimicrobial Susceptibility Testing (AST) in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I8 N. Gonorrhoeae Whole Genome Sequencing (WGS)- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I7 Azole Resistance in Clinical Aspergillus Fumigatus Isolates - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I6 Carbapenemase-Producing Orgranism (CPO) Screening in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Form I5 C. Auris Colonization Screening in Jurisdiction-Annual Evaluation and Performance Measurement Report Form and Instruction
Form I4 HAIAR Whole Genome Sequencing (WGS) of Gram-negative AR Threats in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I3 Candida Species Identification in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I2 Expanded Drug Susceptibility Testing (ExAST) in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Form I1 Routine Testing by Genera in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
AR Lab Network DAART data elements for Neisseria gonorrhoeae Form and Instruction
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae 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
AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting 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
AR Lab Network Alert and Monthly Data Report Form for Candida Form and Instruction
Form Form 5 Annual evaluation and Performance Measurement Report (Candida) Form and Instruction
AR Lab Network Alert Report Form for Carbapenemase-producing Organisms Form and Instruction
AR Lab Network Monthly Data Report Form for Carbapenemase-producing Organisms Form and Instruction
Form Form 2 Annual Eval and Performance Measurement Report for Bacterial Specimen Testing Form and Instruction
AR Lab Network Annual Report of Testing Methods for Carbapenemase-producing Organisms Form and Instruction
Attachment 11 SURRG Project Non-Research Determination.pdf Supplementary Document
Attachment 10 GC SHARP Project Non-Research Determination.pdf Supplementary Document
Attachment 9C-Privacy Impact Assessment.pdf Supplementary Document
Attachment 9B Privacy Impact Assessment.pdf Supplementary Document
Attachment 9A Privacy Impact Assessment.pdf Supplementary Document
Attachment 8 AR Lab Network Non-research Determination.pdf Supplementary Document
Attachment 7 Summary of Candida Reporting by States.docx Supplementary Document
Attachment 6 ELC AR Lab Network State Testing Activities.pdf Supplementary Document
Attachment 5 Summary of CRE, CRPA, and CRAB Reporting by States.docx Supplementary Document
Attachment 4_Published 60-day FRN.pdf Supplementary Document
Attachment 1d Public Health Service Act.pdf Supplementary Document
Attachment 1c_The National Strategy for Combating Antibiotic_Resistant Bacteria.pdf Supplementary Document
Attachment 1b_National_action_plan_for_combating_antibotic-resistant_bacteria.pdf Supplementary Document
Attachment 1a_Executive Order 13676.pdf Supplementary Document
Supporting Statement B_final.docx Supporting Statement B
Supporting Statement A_final_updated10.3_FINAL_final.docx Supporting Statement A
CSV files updates for Carbapenemase-producing organisms-IT Maintenance Other-OMB Header and Burden Statement
Implementation of new HL7 messages-IT Initial Set up Other-OMB Header and Burden Statement
HL7 Messages updates-IT Maintenance Other-OMB Header and Burden Statement
Neisseria Ghonorrhoeae Etest for SHARP Form and Instruction
Characterization of the Clinical Laboratory Network in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Communication and Coordination of Actionable Epi Lab Data in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Healthcare Wastewater-based Surveillance - Annual Evaluation and Performance Measurement Report Form and Instruction
Monitoring CRE CRPA in Companion Animals to from Humans - Annual Evaluation and Performance Measurement Report Form and Instruction
C. Auris Whole Genome Sequencing (WGS) in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Molecular Mtb Testing- Annual Evaluation and Performance Measurement Report Form and Instruction
Mycoplasm Gentalium (MG)- Annual Evaluation and Performance Measurement Report Form and Instruction
Antimicrobial Susceptibility Testing (AST) of Invasive Haemophilus Influenzae (H. Influenzae) in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Antifungal Resistant Tinea Dermatophytes - Annual Evaluation and Performance Measurement Report Form and Instruction
Clostridioides Difficile (C. Difficile) Testing in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
Whole Genome Sequencing (WGS) of S. Pneumonaie - Annual Evaluation and Performance Measurement Report Form and Instruction
Gonococcal (GC) Antimicrobial Susceptibility Testing (AST) in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
N. Gonorrhoeae Whole Genome Sequencing (WGS)- Annual Evaluation and Performance Measurement Report Form and Instruction
Azole Resistance in Clinical Aspergillus Fumigatus Isolates - Annual Evaluation and Performance Measurement Report Form and Instruction
Carbapenemase-Producing Orgranism (CPO) Screening in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
C. Auris Colonization Screening in Jurisdiction-Annual Evaluation and Performance Measurement Report Form and Instruction
HAIAR Whole Genome Sequencing (WGS) of Gram-negative AR Threats in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Candida Species Identification in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Expanded Drug Susceptibility Testing (ExAST) in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
Routine Testing by Genera in Jurisdiction- Annual Evaluation and Performance Measurement Report Form and Instruction
AR Lab Network DAART data elements for Neisseria gonorrhoeae Form and Instruction
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae 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 Form for Phylogenetic Tree-level Mycotics Reporting 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
AR Lab Network Alert and Monthly Data Report Form for Candida Form and Instruction
Annual evaluation and Performance Measurement Report (Candida) Form and Instruction
AR Lab Network Alert Report Form for Carbapenemase-producing Organisms Form and Instruction
AR Lab Network Monthly Data Report Form for Carbapenemase-producing Organisms Form and Instruction
Annual Eval and Performance Measurement Report for Bacterial Specimen Testing Form and Instruction
AR Lab Network Annual Report of Testing Methods for Carbapenemase-producing Organisms Form and Instruction

All Historical Document Collections

202409-0920-016	Revision of a currently approved collection	2024-10-10
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.