Antimicrobial Susceptibility Testing

Gonococcal Isolate Surveillance Project

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0307 can be found here:

Documents and Forms

Document Name Document Type
Antimicrobial Susceptibility Testing Form
Antimicrobial Susceptibility Testing Att 3b_Antimicrobial Test Results_06212018.csv Form

Information Collection (IC) Details

IC Title:	Antimicrobial Susceptibility Testing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	Antimicrobial Susceptibility Testing	Att 3b_Antimicrobial Test Results_06212018.csv		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: 09-20-0136: Epidemiologic Studies and Surveillance of Disease Problems. HHS/CDC”	FR Citation: 57 FR 62812

Number of Respondents: 4	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,200	5,940	7,260
Annual IC Time Burden (Hours)	8,800	1,540	7,260
Annual IC Cost Burden (Dollars)	176,440	176,440	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.