OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Risk Factors for Invasive Methicillin-Resistant Staphylococcus aureus (MRSA) among Patients Recently Discharged from Acute Care Hospitals

OMB 0920-0958 · HHS/CDC.

OMB 0920-0958

Latest Forms, Documents, and Supporting Material

Document Name
Revised_ Supporting Statement Part B HACO_revised_02.05.2013.docx Supporting Statement B
Attachment J-HACO IRB approval letter.docx Supplementary Document
Attachment I_non research determination.pdf Supplementary Document
Attachment A Sec. 301 42 USC 241[1].pdf Supplementary Document
Attachment H_ Nursing Home Medical Record review Form.pdf Supplementary Document
Attachment D. MR review form for Case and Control.pdf Supplementary Document
Attachment C. ABCs MRSA. CRF.pdf Supplementary Document
Attachment E - Verbal Consent.revised docx.docx Supplementary Document
Revised_ Supporting Statement Part A HACO_02.05.2013.docx Supporting Statement A
Post-Discharge Hospital Patients without MRSA infection (Control Patients) Telephone Interview Instruction
Post-discharge Hospital Patients without MRSA Infection (Control-Patients) Screening and Consent Instruction
Post-Discharge Hospital Patients (Case Patients)- Telephone Interview Instruction
Post-discharge Hospital Patients with MRSA (Case Patients) - Screening and Consent Process Instruction

All Historical Document Collections

201302-0920-016

Approved with change

New collection (Request for a new OMB Control Number)

2013-02-21