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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
57.108 Primary Bloodstream Infection (BSI)
Agency IC Tracking Number:
0920-0666
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CDC 57.108
Primary blood stream infection
COVID-19_FieldAddition_57.108_PrimaryBSI_BLANK.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,775
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions, Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
28,875
0
0
0
0
28,875
Annual IC Time Burden (Hours)
18,288
0
0
0
0
18,288
Annual IC Cost Burden (Dollars)
572,591
0
0
0
0
572,591
Documents for IC
Title
Document
Date Uploaded
Att G5_Central Line-Associated Urinary Tract Infection
5. Central Line Associated Bloodstream Infection.pdf
09/16/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.