Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
ABCs Neonatal Infection Expanded Tracking Form Unchanged 370 123 0 Form none
Att 10_CDI Case Report Form New 16500 5500 0 Form None
Att 11_CDI Treatment Form New 16500 2750 0 Form None
Att 14_CDI Screening Form New 600 50 0 Form None
Att 15_CDI Telephone Interview New 500 333 0 Form None
Att 1_ABCs Case Report Form Modified 8090 2697 0 Form CDC 52.15A
Att 2_ABCs Invasive Pneumococcal Disease in Children Modified 220 36 0 Form None
Att 3_2015 Active Bacterial Core Surveillance (ABCs) Case Report Non-Bacteremic Pneumoccoccal Disease New 1000 167 0 Form CDC 52.15A
Att 5_FluSurv-NET Influenza Hospitalization Surveilance Project Case Report Form Modified 4000 1000 0 Form none
Att 6_2014-15 Vaccination History Patient/Proxy Interview Modified 1000 83 0 Form none
Att 8_FluSurv-Net Project Consent Form Modified 1000 83 0 Form None
Att16_Resistant Gram-Negative Bacilli Case Report Form New 5000 1667 0 Form None
Campylobacter Unchanged 6370 2123 0 Other-WORD
Cryptosporidium Unchanged 1300 217 0 Other-WORD
Cyclospora Unchanged 30 5 0 Other-WORD
Hemolytic Uremic Syndrome (HUS) Unchanged 100 100 0 Other-WORD
Invasive Methicillin - Resistant - Staphylococcus aureus ABCs Case Report Form Unchanged 6090 2030 0 Form none
Legionellosis ABCs Case Report Unchanged 1000 333 0 Form none
Listeria monocytogenes Unchanged 130 43 0 Other-WORD
Salmonella Unchanged 8270 2757 0 Other-WORD
Shiga toxin producing E. coli Unchanged 900 300 0 Other-WORD
Shigella Unchanged 1780 297 0 Other-WORD
Vibrio Unchanged 200 33 0 Other-WORD
Yersinia Unchanged 160 27 0 Other-WORD
Total burden requested under this ICR: 81110 22754 0  
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