Neisseria Ghonorrhoeae Etest for SHARP

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

Documents and Forms

Document Name Document Type
Form I21 Neisseria Ghonorrhoeae Etest for SHARP Form and Instruction
I21 Neisseria Ghonorrhoeae Attachment 2u_I.21 NEISSERIA GONORRHOEAE ETEST FOR SHARP.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Neisseria Ghonorrhoeae Etest for SHARP	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	I21	Neisseria Ghonorrhoeae	Attachment 2u_I.21 NEISSERIA GONORRHOEAE ETEST FOR SHARP.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17	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	17	17
Annual IC Time Burden (Hours)	6	6
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.