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Evaluation of CDC Service Provided to Public Health Labs to Rapidly Identify Multidrug-Resistant Isolates of TB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Evaluation of Detection of Drug Resistance Testing Service ATTACHMENT C Survey Instrument-word version.docx Yes Yes Fillable Fileable
Form none Drug Susceptability Test Results ATTACHMENT E. Data Collection Instrument-word version.docx Yes Yes Fillable Fileable

Health Immunization Management

 

43 0
   
State, Local, and Tribal Governments
 
   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 344 0 0 0 0 0
Annual IC Time Burden (Hours) 61 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screen shots of Evaluation Instrument ATTACHMENT D. Survey Instrument-Web Shot.pdf 01/09/2012
Screen shots of Susceptability Instrument ATTACHMENT F. Data Collection Form-Web shot.pdf 01/09/2012
Supporting Statement A MDDR Supporting Statement A - Draft 3 .docx 01/09/2012
Supporting Statement B MDDR Supporting Statement B-Draft 3.docx 01/09/2012
Att G - PH Labs and Isolates ATTACHMENT G. Public Health Laboratories and Isolates.docx 01/09/2012
Att H - Advance survey notification ATTACHMENT H Advance Survey Notification Email.docx 01/09/2012
Att I - Survey notification email ATTACHMENT I. Survey Notification Email.docx 01/09/2012
Att J - Reminders ATTACHMENT J. Reminders (Email and Telephone).docx 01/09/2012
ATTACHMENT A ATTACHMENT A. A Report of Expert Consultations on Rapid Molecular Testing to Detect Drug Resistant Tuberculosis in the United States.docx 01/09/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.