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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
AR Lab Network Alert Report Form for Carbapenemase-producing Organisms
Modified
12198
610
0
Form and Instruction
n/a
AR Lab Network Alert Report Form for Carbapenemase-producing Organisms
AR Lab Network Alert and Monthly Data Report Form for Candida
Modified
95247
31749
0
Form and Instruction
n/a
AR Lab Network Alert and Monthly Data Report Form for Candida
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae
Modified
1581
158
0
Form and Instruction
n/a
AR Lab Network Alert and Monthly Data Report Form for Neisseria gonorrhoeae (SHARP)
AR Lab Network Annual Report of Testing Methods for Carbapenemase-producing Organisms
Modified
57
114
0
Form and Instruction
n/a
Annual Report of Method Tracking
AR Lab Network DAART data elements for Neisseria gonorrhoeae
New
200
33
0
Form and Instruction
n/a
AR Lab Network DAART data elements for Neisseria gonorrhoeae
AR Lab Network Form for Isolate/Specimen-level Mycotics Testing (C. auris Whole Genome Sequencing)
Removed
0
0
0
Form and Instruction
Form 11
AR Lab Network Alert and Monthly Data Report Form for isolate and Specimen-level Mycotics Testing (C. auris WGS)
AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting
Modified
1710
171
0
Form and Instruction
n/a
AR Lab Network Form for Phylogenetic Tree-level Mycotics Reporting (C. auris Whole Genome Sequencing)
AR Lab Network Monthly Data Report Form for Carbapenemase-producing Organisms
Modified
74214
24738
0
Form and Instruction
n/a
Monthly Data Report Form for Carbapenemase-producing Organisms
AR Lab network Alert Report Form for C auris
Removed
0
0
0
Form and Instruction
Form 7
AR Lab Network Alert Report Form for C auris
Annual Eval and Performance Measurement Report for Bacterial Specimen Testing
Removed
0
0
0
Form and Instruction
Form 2
Annual Evaluation and Performance Measurement Report for Bacterial Specimen Testing
Annual Evaluation and Performance Measurement Report (C. auris Whole Genome Sequencing)
Removed
0
0
0
Form and Instruction
Form 10
Annual Evaluation and Performance Measurement Report (C.auris WGS)
Annual Evaluation and Performance Measurement Report (Neisseria gonorrhoeae)
Removed
0
0
0
Form and Instruction
Form 8
Annual Evaluation and Performance Measurement Report (Neisseria gonorrhoere)
Annual evaluation and Performance Measurement Report (Candida)
Removed
0
0
0
Form and Instruction
Form 5
Annual Eval and Performance Measurement Report (Candida)
Antifungal Resistant Tinea Dermatophytes - Annual Evaluation and Performance Measurement Report
New
3
1
0
Form and Instruction
I12
Antifungal Resistant Tinea/Dermatophytes
Antimicrobial Susceptibility Testing (AST) of Invasive Haemophilus Influenzae (H. Influenzae) in Jurisdiction - Annual Evaluation and Performance Measurement Report
New
2
1
0
Form and Instruction
I13
Antimicrobial Susceptibility Testing (AST) of Invasive Haemophilus Influenzae (H. Influenzae) in Jurisdiction
Azole Resistance in Clinical Aspergillus Fumigatus Isolates - Annual Evaluation and Performance Measurement Report
New
2
1
0
Form and Instruction
I7
Azole Resistance in Clinical Aspergillus Fumigatus Isolates
C. Auris Colonization Screening in Jurisdiction-Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I5
C. Auris Colonization Screening in Jurisdiction
C. Auris Whole Genome Sequencing (WGS) in Jurisdiction- Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I16
C. Auris Whole Genome Sequencing (WGS) in Jurisdiction
CSV files updates for Carbapenemase-producing organisms-IT Maintenance
New
24
24
0
Other-OMB Header and Burden Statement
Candida Species Identification in Jurisdiction- Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I3
Candida Enhanced Yeast Surveillance for Species Identification
Carbapenemase-Producing Orgranism (CPO) Screening in Jurisdiction - Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I6
Carbapenemase-Producing Organism (CPO) Screening in Jurisdiction
Characterization of the Clinical Laboratory Network in Jurisdiction - Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I20
Characterization of the Clinical Laboratory Network in Jurisdiction
Clostridioides Difficile (C. Difficile) Testing in Jurisdiction - Annual Evaluation and Performance Measurement Report
New
2
1
0
Form and Instruction
I11
Clostridioides Difficile (C. Difficile) Testing in Jurisdiction
Communication and Coordination of Actionable Epi Lab Data in Jurisdiction - Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I19
Communication and Coordination of Actionable Lab Data in Jurisdiction
Expanded Drug Susceptibility Testing (ExAST) in Jurisdiction- Annual Evaluation and Performance Measurement Report
New
7
1
0
Form and Instruction
I2
Expanded Drug Susceptibility Testing (ExAST) in Jurisdiction
Gonococcal (GC) Antimicrobial Susceptibility Testing (AST) in Jurisdiction - Annual Evaluation and Performance Measurement Report
New
4
1
0
Form and Instruction
I9
Gonococcal (GC) Antimicrobial Susceptibility Testing (AST) in Jurisdiction
HAIAR Whole Genome Sequencing (WGS) of Gram-negative AR Threats in Jurisdiction- Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I4
Whole Genome Sequencing (WGS) of Carbapenemase-Producing AR Threats in Jurisdiction
HL7 Messages updates-IT Maintenance
New
128
43
0
Other-OMB Header and Burden Statement
Healthcare Wastewater-based Surveillance - Annual Evaluation and Performance Measurement Report
New
2
1
0
Form and Instruction
I18
Healthcare Wasterwater-based Surveillance
Implementation of new HL7 messages-IT Initial Set up
New
44
132
0
Other-OMB Header and Burden Statement
Molecular Mtb Testing- Annual Evaluation and Performance Measurement Report
New
20
3
0
Form and Instruction
I15
Molecular Mtb Testing
Monitoring CRE CRPA in Companion Animals to from Humans - Annual Evaluation and Performance Measurement Report
New
2
1
0
Form and Instruction
I17
Monitoring CRE/CRPA in Companion Animals to/from Humans
Mycoplasm Gentalium (MG)- Annual Evaluation and Performance Measurement Report
New
4
1
0
Form and Instruction
I14
Mycoplasma Gentalium (MG)
N. Gonorrhoeae Whole Genome Sequencing (WGS)- Annual Evaluation and Performance Measurement Report
New
4
1
0
Form and Instruction
I8
N. Gonorrhoeae Whole Genome Sequencing (WGS)
Neisseria Ghonorrhoeae Etest for SHARP
New
17
6
0
Form and Instruction
I21
Neisseria Ghonorrhoeae
Routine Testing by Genera in Jurisdiction- Annual Evaluation and Performance Measurement Report
New
57
10
0
Form and Instruction
I1
Routine Testing by Genus in Jurisdiction
Whole Genome Sequencing (WGS) of S. Pneumonaie - Annual Evaluation and Performance Measurement Report
New
2
1
0
Form and Instruction
I10
Whole Genome Sequencing (WGS) of S. Pneumonaie
Total burden requested under this ICR:
185930
57872
0
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