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(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring 0920-1154-24CK
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Antifungal TDM Focus Group Screener Attachment 1-WS-CDC DFWED_Focus Group Screener_Antifungal TDM_1.10.24_FINAL.docx Yes Yes Fillable Fileable
Form and Instruction n/a Antifungal TDM Focus Group Guide Attachment 3-WS-CDC DFWED_Focus Group Guide_Antifungal TDM_1.16.24_FINAL.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

264 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 264 0 264 0 0 0
Annual IC Time Burden (Hours) 56 0 56 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form Attachment 2-WS-CDC DFWED_Focus Group Consent Form_Antifungal TDM_1.10.24_FINAL.docx 01/30/2024
Research Determination Attachment 4-Human Subjects Determination.pdf 01/30/2024
GenIC Request Template GenIC Request_Antifungal TDM_1.10.24_FINAL.docx 01/30/2024
SSA Supporting Statement A_Antifungal TDM_1.10.24_FINAL_final.docx 01/30/2024
SSB Supporting Statement B_Antifungal TDM_1.9.24_FINAL.docx 01/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.