57.123 Antimicrobial Use and Resistance (AUR) - Microbiology Data Upload Tables

The National Healthcare Safety Network (NHSN)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 57.123 57.123 Antimicrobial Use and Resistance (AUR) - Microbiology Data Upload Tables Form
CDC 57.123 Antimicrobial Use and Resistance (AUR): Microbiology Lab 57.123_AUR Micro Electronic Upload Tables.docx Form
Att G2_Antimicrobial Use and Resistance.pdf Att G2_Antimicrobial Use and Resistance IC Document

Information Collection (IC) Details

IC Title:	57.123 Antimicrobial Use and Resistance (AUR) - Microbiology Data Upload Tables	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	CDC 57.123	Antimicrobial Use and Resistance (AUR): Microbiology Laboratory Data Monthly Electronic Upload Specification Tables	57.123_AUR Micro Electronic Upload Tables.docx		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,200	4,200
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	6,555	6,555

Documents for IC

Title	Document	Date Uploaded
Att G2_Antimicrobial Use and Resistance	Att G2_Antimicrobial Use and Resistance.pdf	09/09/2015

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