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View Information Collection (IC)

Post-product recall investigation of a multistate cluster of VIM-producing carbapenem resistant Pseudomonas aeruginosa associated with artificial tear use 0920-1011-23DX
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1011 VIM-CRPA Outbreak Chart Abstraction Form] Appendix 1 Chart abstraction form.docx NA Yes Yes Fillable Fileable

Disaster Management Emergency Response

Epidemic Investigation Case Records - SORN number 09-20-0113   51 FR 42466

15 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 45 0 45 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Memo - 0920-1011 GenIC Burden Estimate Burden Estimate_EEI Generic ICR VIMCRPA 040623.docx 04/06/2023
Letter of Invitation (CSTE) CSTE Letter of Support Pseudomonas Aeruginosa 2023_update 03312023.pdf 04/06/2023
Emergency Epidemic Investigation (EEI) GenIC Request Memo 1. GenIC Request Form - EEI Generic ICR VIM_CRPA 040623.docx 04/06/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.