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2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report

IC 217336 under ICR 202410-0920-009 · OMB 0920-0978.

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2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report 0920-0978
 
No Modified
 
Voluntary
 
42 CFR 301 PHSA

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HAIC.400.1 2024 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report HAIC.400.1 HAIC Multi-site Gram-Negative Surveillance Initiative_MuGSI_Case Report Form.pdf NA Yes Yes Fillable Fileable
Form and Instruction HAIC 400.1 2025 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report HAIC.400.1 - MuGSI CRF 2025.pdf N/A Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

11 0
   
State, Local, and Tribal Governments
 
   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 17,391 0 0 0 0 17,391
Annual IC Time Burden (Hours) 8,406 0 0 0 0 8,406
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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