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Federal forms, ICRs, and supporting documents

Information Collection Request

Pilot Plan for the Interim Local Health Department Strategy for Response, Control, and Prevention of Healthcare Associated Infections (HAI) and Antibiotic Resistance (AR)

ICR 202210-0920-003 · OMB 0920-1394 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
LHD HAI/AR Strategy Pilot Survey Template Form and Instruction New Repair queued
LHD HAI/AR Strategy Pilot Interview Guide Survey Form and Instruction New Missing upstream
LHD HAI/AR Strategy Pilot Feedback Form Form and Instruction New Available
Att 5 20220727 RedCap PIA Signed.pdf Supplementary Document Uploaded 2022-10-06 Repair queued
Att 4 HAI AR STARS 0900f3eb81ebc7a6 NR-signed.pdf Supplementary Document Uploaded 2022-10-06 Repair queued
Att 2 Published FRN 2022-13095. 6.17.22.pdf Supplementary Document Uploaded 2022-10-06 Missing upstream
Att 1 - Section 301 of the Public Health Service Act (42 USC 241) (1).pdf Supplementary Document Uploaded 2022-10-06 Missing upstream
Supporting Statement B_final.docx Supporting Statement B Uploaded 2022-10-06 Missing upstream
Supporting Statement A_final.docx Supporting Statement A Uploaded 2022-10-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
256307 LHD HAI/AR Strategy Pilot Survey Template Form and Instruction New
256305 LHD HAI/AR Strategy Pilot Interview Guide Survey Form and Instruction New
256304 LHD HAI/AR Strategy Pilot Feedback Form Form and Instruction New
ICR Details
202210-0920-003
Received in OIRA
HHS/CDC 0920-22GG
Pilot Plan for the Interim Local Health Department Strategy for Response, Control, and Prevention of Healthcare Associated Infections (HAI) and Antibiotic Resistance (AR)
New collection (Request for a new OMB Control Number)   No
Regular 10/12/2022
  Requested Previously Approved
36 Months From Approved
120 0
360 0
0 0
Through piloting the Interim Local Strategy, DHQP aims to understand Local Health Departments (LHDs) experience implementing the strategy and collect their feedback for refinement. A secondary goal of this study is to create a network of LHDs working in HAI and AR activities to learn from one another and share best practices.
US Code: 42 USC 241 Name of Law: PHSA
  
None
Not associated with rulemaking
  87 FR 36504 06/17/2022
87 FR 61326 10/11/2022
No
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 120 0 0 120 0 0
Annual Time Burden (Hours) 360 0 0 360 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a New collection.
$61,895
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Kevin Joyce 404 639-1944 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/12/2022