Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
(MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report Modified 17391 8406 0 Form and Instruction HAIC 400.1
Form and Instruction HAIC 400.1
Form and Instruction HAIC 400.1
2019 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form Unchanged 60 10 0 Form and Instruction ABC.100.3
2024 Active Bacterial Core Surveillance (ABCs) Case Report Unchanged 8090 2697 0 Form and Instruction ABC.100.1
Form and Instruction ABC 100.1
ABCs Invasive Pneumococcal Disease in Children and Adults Unchanged 1270 212 0 Form and Instruction ABC.100.2
Form and Instruction ABC 100.2
ABCs Severe GAS Infection: Supplemental Form Unchanged 1360 453 0 Form and Instruction ABC.100.4
Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Unchanged 370 123 0 Form and Instruction ABC.100.5
Form and Instruction ABC 100.5
Annual Survey of Laboratory Testing Practices for C. difficile Infection Modified 160 45 0 Form and Instruction HAIC.400.8
Form and Instruction HAIC 400.8
Form and Instruction HAIC 400.8
CANDIDEMIA 2024 CASE REPORT FORM Unchanged 1700 1133 0 Form and Instruction HAIC 400.11
Form and Instruction HAIC 400.11
CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey Unchanged 110 17 0 Form and Instruction HAIC.400.5
CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT Modified 16500 10450 0 Form and Instruction HAIC 400.7
Form and Instruction HAIC 400.7
Form and Instruction HAIC 400.7
Community-Associated CP-CRE Interview Unchanged 100 50 0 Form and Instruction HAIC.400.2
Data Elements Transferred to CDC for the HAIC Death Ascertainment Project Unchanged 80 1920 0 Form and Instruction HAIC.400.13
Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey Unchanged 450 38 0 Form and Instruction HAIC.400.10
FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) Unchanged 208 34 0 Form and Instruction FSN.300.2
FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM Unchanged 1638 136 0 Form and Instruction FSN.300.3
FluSurv-NET Laboratory Survey 2023–2024 Season Unchanged 240 40 0 Form FSN.300.4
FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form Unchanged 8640 3600 0 Form and Instruction FSN.300.1
Form and Instruction FSN 300.1
FoodNET Lab Survey Variable List 2024 Unchanged 700 117 0 Form FN.200.10
FoodNet Hemolytic Uremic Syndrome (HUS) Unchanged 100 100 0 Form and Instruction ABC 200.9
FoodNet Variable List, 2024_ (CYCLOSPORA) Modified 420 70 0 Form and Instruction FN.200.2
Form and Instruction FN 200.2
Form and Instruction FN200.2
FoodNet Variable List, 2024_ (LISTERIA MONOCTOGENES) Modified 160 53 0 Form and Instruction FN.200.3
Form and Instruction FN 200.3
Form and Instruction FN200.3
FoodNet Variable List, 2024_ (SALMONELLA) Modified 8550 2993 0 Form and Instruction FN.200.4
Form and Instruction FN 200.4
Form and Instruction FN200.4
FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI) Modified 2900 967 0 Form and Instruction FN.200.5
Form and Instruction FN 200.5
Form and Instruction FN200.5
FoodNet Variable List, 2024_ (SHIGELLA) Modified 2340 390 0 Form and Instruction FN.200.6
Form and Instruction FN 200.6
Form and Instruction FN200.6
FoodNet Variable List, 2024_ (VIBRIO) Modified 460 77 0 Form and Instruction FN.200.7
Form and Instruction FN 200.7
Form and Instruction FN200.7
FoodNet Variable List, 2024_ (YERSINIA) Modified 550 92 0 Form and Instruction FN.200.8
Form and Instruction FN 200.8
Form and Instruction FN200.8
FoodNet Variable List, 2024_(CAMPYLOBACTER) Modified 5500 1925 0 Form and Instruction FN.200.1
Form and Instruction FN 200.1
Form and Instruction FN200.1
HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey Modified 10 2 0 Form and Instruction HAIC.400.6
Form and Instruction HAIC 400.6
Form and Instruction HAIC 400.6
HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Modified 11 4 0 Form and Instruction HAIC.400.3
Form and Instruction HAIC 400.3
HAIC-Surveillance Officer's Survey Modified 10 3 0 Form and Instruction HAIC.400.9
Form and Instruction HAIC 400.9
Form and Instruction HAIC 400.9
HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE Unchanged 200 47 0 Form and Instruction HAIC.400.12
Form and Instruction HAIC 400.12
Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report Modified 7880 3809 0 Form and Instruction HAIC 400.4
Form and Instruction HAIC 400.4
Form and Instruction HAIC 400.4
Form and Instruction HAIC 400.4
Form and Instruction HAIC 400.4
Form and Instruction HAIC 400.4
Form and Instruction HAIC 400.4
Total burden requested under this ICR: 88158 40013 0  
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