Characterization of the Clinical Laboratory Network in Jurisdiction - Annual Evaluation and Performance Measurement Report

[NCEZID] Public Health Laboratory Testing for Emerging Antibiotic Resistance and Fungal Threats

Documents and Forms

Document Name Document Type
Form I20 Characterization of the Clinical Laboratory Network in Jurisdiction - Annual Evaluation and Performance Measurement Report Form and Instruction
I20 Characterization of the Clinical Laboratory Network in J Attachment 2t_I.20- CHARACTERIZATION OF THE CLINICAL LABORATORY NETWORK IN JURISDICTION-AEPMR.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Characterization of the Clinical Laboratory Network in Jurisdiction - Annual Evaluation and Performance Measurement Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I20	Characterization of the Clinical Laboratory Network in Jurisdiction	Attachment 2t_I.20- CHARACTERIZATION OF THE CLINICAL LABORATORY NETWORK IN JURISDICTION-AEPMR.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 57	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	57	57
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	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.