 Form HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project |
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| Form HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project |
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| Form HAIC.400.3 2024 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey |
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| Form HAIC.400.3 2024 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey |
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| Form HAIC.400.2 Community-Associated CP-CRE Interview |
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| Form HAIC.400.2 Community-Associated CP-CRE Interview |
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| Form HAIC.400.12 HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE |
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| Form HAIC.400.12 HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE |
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| Form HAIC.400.6 2023 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey |
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| Form HAIC.400.6 2023 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey |
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| Form HAIC.400.5 CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey |
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| Form HAIC.400.5 CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus 2024 Laboratory Survey |
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| Form HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey |
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| Form HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey |
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| Form HAIC.400.9 HAIC-Surveillance Officer's Survey |
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| Form HAIC.400.9 HAIC-Surveillance Officer's Survey |
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| Form HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection |
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| Form HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection |
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| Form FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season |
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| Form FSN.300.4 FluSurv-NET Laboratory Survey 2023–2024 Season |
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| Form FN.200.10 FoodNET Lab Survey Variable List 2024 |
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| Form FN.200.10 FoodNET Lab Survey Variable List 2024 |
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| Form HAIC.400.11 CANDIDEMIA 2024 CASE REPORT FORM |
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| Form HAIC.400.11 CANDIDEMIA 2024 CASE REPORT FORM |
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| Form HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report |
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| Form HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report |
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| Form FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM |
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| Form FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM |
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| Form ABC.100.4 ABCs Severe GAS Infection: Supplemental Form |
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| Form ABC.100.4 ABCs Severe GAS Infection: Supplemental Form |
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| Form ABC.100.3 2019 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form |
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| Form ABC.100.3 2019 ABCs H. Influenzae Neonatal Sepsis Expanded Surveillance Form |
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| Form HAIC.400.1 2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report |
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| Form HAIC.400.1 2024 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report |
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| Form HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT |
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| Form HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT |
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| Form FN.200.8 FoodNet Variable List, 2024_ (YERSINIA) |
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| Form FN.200.8 FoodNet Variable List, 2024_ (YERSINIA) |
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| Form FN.200.7 FoodNet Variable List, 2024_ (VIBRIO) |
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| Form FN.200.7 FoodNet Variable List, 2024_ (VIBRIO) |
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| Form FN.200.6 FoodNet Variable List, 2024_ (SHIGELLA) |
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| Form FN.200.6 FoodNet Variable List, 2024_ (SHIGELLA) |
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| Form FN.200.5 FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI) |
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| Form FN.200.5 FoodNet Variable List, 2024_ (SHIGA TOXIN PRODUCING E.COLI) |
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| Form FN.200.4 FoodNet Variable List, 2024_ (SALMONELLA) |
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| Form FN.200.4 FoodNet Variable List, 2024_ (SALMONELLA) |
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| Form FN.200.3 FoodNet Variable List, 2024_ (LISTERIA MONOCTOGENES) |
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| Form FN.200.3 FoodNet Variable List, 2024_ (LISTERIA MONOCTOGENES) |
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| Form FN.200.2 FoodNet Variable List, 2024_ (CYCLOSPORA) |
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| Form FN.200.2 FoodNet Variable List, 2024_ (CYCLOSPORA) |
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| Form FN.200.1 FoodNet Variable List, 2024_(CAMPYLOBACTER) |
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| Form FN.200.1 FoodNet Variable List, 2024_(CAMPYLOBACTER) |
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| Form FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) |
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| Form FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) |
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| Form ABC.200.9 FoodNet Hemolytic Uremic Syndrome (HUS) |
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| Form ABC.200.9 FoodNet Hemolytic Uremic Syndrome (HUS) |
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| Form FSN.300.1 FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form |
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| Form FSN.300.1 FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form |
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| Form ABC.100.5 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form |
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| Form ABC.100.5 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form |
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| Form ABC.100.2 ABCs Invasive Pneumococcal Disease in Children and Adults |
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| Form ABC.100.2 ABCs Invasive Pneumococcal Disease in Children and Adults |
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| Form ABC.100.1 2024 Active Bacterial Core Surveillance (ABCs) Case Report |
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| Form ABC.100.1 2024 Active Bacterial Core Surveillance (ABCs) Case Report |
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 EIP 0920-0978_Non-sub change request_2025 08OCT2024.docx |
Justification for No Material/Nonsubstantive Change |
Uploaded 2024-10-08 |
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| EIP 0920-0978_Non-sub change request_2025 08OCT2024.docx |
Justification for No Material/Nonsubstantive Change |
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| Att 2_Collection Instrument Cross walk.docx |
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| Att 2_Collection Instrument Cross walk.docx |
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| Att 1 Program ChangesAdjustments_rev 08OCT2024.docx |
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| Att 1 Program ChangesAdjustments_rev 08OCT2024.docx |
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| Att. 6-Explanation for Program Changes.docx |
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| Att. 6-Explanation for Program Changes.docx |
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 Att. 5-Human Subjects Determination Memo.pdf |
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| Att. 5-Human Subjects Determination Memo.pdf |
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| Att. 4a-Privacy Impact Assessment.pdf |
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| Att. 4a-Privacy Impact Assessment.pdf |
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| Att. 2-Federal Register 60day FRN.pdf |
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Uploaded 2024-07-11 |
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| Att. 2-Federal Register 60day FRN.pdf |
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| Att. 1-Section 301 of the Public Health Service Act (42 USC 241).pdf |
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Uploaded 2024-07-11 |
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| Att. 1-Section 301 of the Public Health Service Act (42 USC 241).pdf |
Supplementary Document |
Uploaded 2024-07-11 |
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| 2. Supporting Statement B_EIP OMB 2024 Revision.docx |
Supporting Statement B |
Uploaded 2024-07-11 |
Available |
| 2. Supporting Statement B_EIP OMB 2024 Revision.docx |
Supporting Statement B |
Uploaded 2024-07-11 |
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| 1. Supporting Statement A_EIP OMB 2024 Revision.docx |
Supporting Statement A |
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| 1. Supporting Statement A_EIP OMB 2024 Revision.docx |
Supporting Statement A |
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Data Elements Transferred to CDC for the HAIC Death Ascertainment Project