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

View Information Collection (IC)

Antibiotic Stewardship in Hospitals Assessment 0920-1154-17AUS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Hospital Antibiotic Stewardship Core Element Assessment Attachment A. Hospital Antibiotic Stewardship Core Element Assessment 20170630.docx Yes Yes Fillable Fileable
Form none Feedback Questionnaire Attachment B. Feedback Questionnaire 20170630.docx Yes Yes Fillable Fileable

Health Health Care Services

 

80 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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 70 0 70 0 0 0
Annual IC Cost Burden (Dollars) 9,000 0 9,000 0 0 0

Title Document Date Uploaded
Non-research determination Attachment D. IRB Determination Letter.pdf 07/10/2017
Letter to Study Participants Attachment C. Letter to Study Participants 20170630.docx 07/10/2017
Supporting Statement A Supporting Statement A_Hospital Antibiotic Stewardship 20170630.doc 07/10/2017
Supporting Statement B Supporting Statement B_ Hospital Antibiotic Stewardship 20170630.docx 07/10/2017
Request for Approval GenICRequest_Hospital Antibiotic Stewardship 20170630.docx 07/10/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.