OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Clostridium difficile Infection (CDI) Surveillance

OMB 0920-0892 · HHS/CDC.

OMB 0920-0892

Latest Forms, Documents, and Supporting Material

Document Name
Form New form Telephone Interview Form and Instruction
Form New form Screening Form Form and Instruction
Supporting Statement Part B_ CDI supporting statement_Ext_FL.docx Supporting Statement B
0920-0892 Attach I comments and response.pdf Supplementary Document
Attachment H- IRB approval for protocol #5558_Continuation #4.docx Supplementary Document
Attachment D _ CDI ASSENT for 13-15 .docx Supplementary Document
Attachment C _ADULT VERBAL CONSENT Assent 16_17 for CDI.docx Supplementary Document
60 day published.pdf Supplementary Document
Attachment A Sec. 301 42 USC 241[1].pdf Supplementary Document
Attachment G - CDI Case Report Form.pdf Supplementary Document
Supporting Statement Part A_Extension rev 12.27.2013.doc Supporting Statement A
Telephone Interview Form and Instruction
Screening Form Form and Instruction

All Historical Document Collections

201401-0920-002 Approved without change	Extension without change of a currently approved collection	2014-01-07
201106-0920-012 Approved without change	New collection (Request for a new OMB Control Number)	2011-06-16