ICR Documents

Document Date Uploaded
SSA_0920_0852_Extension_2021_final_ICRO.docx 12/23/2021

Document Date Uploaded
SSB_0920_0852_Extension_2021_final.docx 12/23/2021

Title Document Document Type Date Uploaded
Authorizing legislation - PHSA Attachment_A_Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document 12/23/2021
Authorizing legislation - ARRA Attachment_A2_ARRA.pdf Supplementary Document 12/23/2021
60 day FRN Attachment_B_60-Day_0920-0852 Published Federal Register.pdf Supplementary Document 12/23/2021
HAI form Attachment_E_HAI Form.docx Supplementary Document 12/23/2021
AU form Attachment_F_AU Form.docx Supplementary Document 12/23/2021
AQUA form 1 Attachment_G_AQUA Case Eligibility Form.docx Supplementary Document 12/23/2021
AQUA form 2 Attachment_H_AQUA General Patient Assessment Form.docx Supplementary Document 12/23/2021
AQUA Vancomycin Form Attachment_I_a_AQUA Vancomycin Form.docx Supplementary Document 12/23/2021
Instructions for data collection Attachment_J_HFA_PIF_Instructions.pdf Supplementary Document 12/23/2021
Correspondence with NCHS Attachment_K_NCHS_Consultation.pdf Supplementary Document 12/23/2021
Non-research determination Attachment_L_ Non-research_Determination.pdf Supplementary Document 12/23/2021
Example of information documents Attachment_M_Draft example of Informaton document distributed to HCF.pdf Supplementary Document 12/23/2021
AQUA Fluoroquinolone Form Attachment_I_b_AQUA Fluoroquinolone Form.docx Supplementary Document 12/23/2021
AQUA UTI Form Attachment_I_d_AQUA UTI_Form.docx Supplementary Document 12/23/2021
PTA HAIPS PTA Signed 2019.pdf Supplementary Document 12/23/2021
AQUA CAP Form Attachment_I_c_AQUA CAP_Form.docx Supplementary Document 12/27/2021
EIP HFA Form (added August 2022) Att_C1_EIP HFA_Aug22.docx Supplementary Document 08/02/2022
HAI Form (modified August 2022) Att_E_HAI Form_Aug22.docx Supplementary Document 08/02/2022
AQUA Case Eligibility Form (modified August 2022) Att_G_AQUA Case Eligibility Form_Aug22.docx Supplementary Document 08/02/2022
AQUA General Patient Assessment Form (modified August 2022) Att_H_AQUA General Patient Assessment Form_Aug22.docx Supplementary Document 08/02/2022
AQUA Vancomycin Form (modified August 2022) Att_I_a_AQUA Vancomycin Form_Aug22.docx Supplementary Document 08/02/2022
AQUA Fluoroquinolone Form (modified August 2022) Att_I_b_AQUA Fluoroquinolone Form_Aug22.docx Supplementary Document 08/02/2022
AQUA CAP Form (modified August 2022) Att_I_c_AQUA CAP_Form_Aug22.docx Supplementary Document 08/02/2022
AQUA UTI Form (modified August 2022) Att_I_d_AQUA UTI_Form_Aug22.docx Supplementary Document 08/02/2022
August 2022 Change Request Justification Change request_HPPS_HAI and AU_2023_08_02_2022.docx Justification for No Material/Nonsubstantive Change 08/02/2022

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