PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Att D_Healthcare Facility Assessment (HFA)
Unchanged
100
75
0
Form
Phase 4_HFA_20141114
HAI & Antimicrobial Use Prevalence Survey Healthcare Facility Assessment (HFA)
Att E_Patient Information Form (PIF)
Unchanged
6300
1785
0
Form
Phase 4_PIF_20141218
Patient Information Form (PIF)
Total burden requested under this ICR:
6400
1860
0
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