View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Formative Research Legionella 16BCR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD Yes Yes Fillable Printable
Other-WORD No   Paper Only
Other-WORD No   Paper Only
Other-WORD No   Paper Only
Other-WORD No   Paper Only

Health Illness Prevention

 

144 0
   
Individuals or Households
 
   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 144 0 144 0 0 0
Annual IC Time Burden (Hours) 66 0 66 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 5_Treating Clinician Consent 08/29/2016
Att 6_ Infection Control Clinician Consent 08/29/2016
Att 7_Building Mgr and Water Maint. Staff Consent 08/29/2016
Att 8_Water System Risk Mgmt & Remediation Staff Consent 08/29/2016
Att 13_Treating Clinician_Test materials 08/29/2016
Att 14_Infection Control Clinician_Test materials 08/29/2016
Att 15_Bldg Mgrs and Water Maint. Staff_ Test materials 08/29/2016
Att 16_Water Risk Mgmt and Remediation Staff_Test materials 08/29/2016
Att 17_Email Instructions_Interview Participation 08/29/2016
Att 18_Remote Testing Procedures 08/29/2016
Supporting Statement A 08/29/2016
Supporting Statement B 08/29/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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