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HAI/AR Program Multi-Drug Resistant Organism (MDRO) Prevention and Response Needs Assessment Survey 0920-1071-22DP
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1070 ARP SHARP Guidance 2021 P1 Activity B1 MDRO Prevention Plan Needs Assessment MDRO Prevention - Health Department Needs and Resource Availability Assessment_FINAL.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

64 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 64 0 0 0 0 64
Annual IC Time Burden (Hours) 96 0 0 0 0 96
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval under the “Generic Clearance Service Delivery Fast Track_MDROPreventionNeedsAssessmt.docx 03/21/2022
Determination of Non-applicability of Human Subjects HumanSubjectsDetermination_MDROPreventionNeedsAssessment.pdf 03/21/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.