(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring

[OS] CDC/ATSDR Formative Research and Tool Development

Documents and Forms

Document Name Document Type
(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring Form and Instruction
Antifungal TDM Focus Group Screener Attachment 1-WS-CDC DFWED_Focus Group Screener_Antifungal TDM_1.10.24_FINAL.docx Form and Instruction
Antifungal TDM Focus Group Guide Attachment 3-WS-CDC DFWED_Focus Group Guide_Antifungal TDM_1.16.24_FINAL.docx Form and Instruction
Attachment 2-WS-CDC DFWED_Focus Group Consent Form_Antifungal TDM_1.10.24_FINAL.docx Consent Form IC Document
Attachment 4-Human Subjects Determination.pdf Research Determination IC Document
GenIC Request_Antifungal TDM_1.10.24_FINAL.docx GenIC Request Template IC Document
Supporting Statement A_Antifungal TDM_1.10.24_FINAL_final.docx SSA IC Document
Supporting Statement B_Antifungal TDM_1.9.24_FINAL.docx SSB IC Document

Information Collection (IC) Details

IC Title:	(NCEZID) Focus Groups with Infectious Disease Physicians and Pharmacists on Antifungal Therapeutic Drug Monitoring	Agency IC Tracking Number:	0920-1154-24CK

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 and Instruction	n/a	Antifungal TDM Focus Group Screener	Attachment 1-WS-CDC DFWED_Focus Group Screener_Antifungal TDM_1.10.24_FINAL.docx		Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Antifungal TDM Focus Group Guide	Attachment 3-WS-CDC DFWED_Focus Group Guide_Antifungal TDM_1.16.24_FINAL.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 264	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	264	264
Annual IC Time Burden (Hours)	56	56
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Consent Form	Attachment 2-WS-CDC DFWED_Focus Group Consent Form_Antifungal TDM_1.10.24_FINAL.docx	01/30/2024
Research Determination	Attachment 4-Human Subjects Determination.pdf	01/30/2024
GenIC Request Template	GenIC Request_Antifungal TDM_1.10.24_FINAL.docx	01/30/2024
SSA	Supporting Statement A_Antifungal TDM_1.10.24_FINAL_final.docx	01/30/2024
SSB	Supporting Statement B_Antifungal TDM_1.9.24_FINAL.docx	01/30/2024

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