Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
2011-12 FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form New 4000 1000 0 Other-WORD
2012 Legionellosis ABCs Case Report New 1000 333 0 Other-WORD
ABCs Case Report Form New 8090 2697 0 Other-WORD
ABCs Invasive Pneumococcal Disease in Children New 410 68 0 Other-WORD
ABCs Neonatal Infection Expanded Tracking Form New 370 123 0 Other-WORD
Campylobacter New 6370 2123 0 Other-WORD
Consent Form New 1000 83 0 Other-WORD
Cryptosporidium New 1300 217 0 Other-WORD
Cyclospora New 30 5 0 Other-WORD
Hemolytic Uremic Syndrome (HUS) New 100 100 0 Other-WORD
Influenza Hospitalization Surveillance Project Vaccination Telephone Survey New 1000 83 0 Other-WORD
Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form New 6090 2030 0 Other-WORD
Listeria monocytogenes New 130 43 0 Other-WORD
Salmonella New 8270 2757 0 Other-WORD
Shiga toxin producing E. coli New 900 300 0 Other-WORD
Shigella New 1780 297 0 Other-WORD
Vibrio New 200 33 0 Other-WORD
Yersinia New 160 27 0 Other-WORD
Total burden requested under this ICR: 41200 12319 0  
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