PRA ICR Documents
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Agenda
Reg Review
ICR
ICR Documents
Supporting Statement A
Document
Date Uploaded
SSA_0920_0852_Extension_2021_final_ICRO.docx
12/23/2021
Supporting Statement B
Document
Date Uploaded
SSB_0920_0852_Extension_2021_final.docx
12/23/2021
Supplementary Documents
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
Public Comments
Author Name
Comment Document
Author Affiliation
Sponsoring Org.
Type
Category
Date of Comment
Date Comment Received
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.