Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ABCs Case Report Form Modified 8090 2697 0 Form none ABC's Case Report Form
ABCs Invasive Pneumococcal Disease in Children Modified 410 68 0 Other-WORD
ABCs Neonatal Infection Expanded Tracking Form Modified 370 123 0 Form none Neonatal Tracking
Campylobacter Modified 6370 2123 0 Other-WORD
Cryptosporidium Modified 1300 217 0 Other-WORD
Cyclospora Modified 30 5 0 Other-WORD
FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form Modified 4000 1000 0 Form none FluSurv-NET Case Report
FluSurv-Net Project Consent Form Modified 1000 83 0 Form none Consent Form
Hemolytic Uremic Syndrome (HUS) Modified 100 100 0 Other-WORD
Influenza Hospitalization Surveillance Project Vaccination Telephone Survey Modified 1000 83 0 Form none FluSurv-NET Vac History Phone
Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form Modified 6090 2030 0 Form none Invasive Methicillin-Resistant Staph
Legionellosis ABCs Case Report Modified 1000 333 0 Form none Legionellosis Case Report
Listeria monocytogenes Modified 130 43 0 Other-WORD
Salmonella Modified 8270 2757 0 Other-WORD
Shiga toxin producing E. coli Modified 900 300 0 Other-WORD
Shigella Modified 1780 297 0 Other-WORD
Vibrio Modified 200 33 0 Other-WORD
Yersinia Modified 160 27 0 Other-WORD
Total burden requested under this ICR: 41200 12319 0  
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