Information Collection Request

[NCEZID] Emerging Infections Program

ICR 202604-0920-003 · OMB 0920-0978 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form HAIC.400.14 HAIC MuGSI KPC and NDM treatment collection form Form and Instruction Unchanged Available
Form HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project Form and Instruction Unchanged Available
Form HAIC.400.3 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction Modified Available
Form HAIC.400.2 Community-Associated CP-CRE Interview Form and Instruction Unchanged Available
Form HAIC.400.12 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE Form and Instruction Unchanged Available
Form HAIC.400.6 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey Form and Instruction Unchanged Available
Form HAIC.400.5 CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey Form and Instruction Modified Available
Form HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey Form and Instruction Unchanged Available
Form HAIC.400.9 HAIC Surveillance Officer’s Survey Form and Instruction Modified Available
Form HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection Form and Instruction Modified Available
Form FSN.300.4 FluSurv-NET Laboratory Survey Form Modified Available
Form FN.200.10 FoodNET Lab Survey Variable List Form Unchanged Available
Form HAIC.400.11 CANDIDEMIA CASE REPORT FORM Form and Instruction Unchanged Available
Form HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report Form and Instruction Modified Available
Form FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM Form and Instruction Modified Available
Form HAIC.400.1 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report Form and Instruction Modified Available
Form HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT Form and Instruction Modified Available
Form FN.200.8 FoodNet Variable List_ (YERSINIA) Form and Instruction Unchanged Available
Form FN.200.7 FoodNet Variable List_ (VIBRIO) Form and Instruction Unchanged Available
Form FN.200.6 FoodNet Variable List_ (SHIGELLA) Form and Instruction Unchanged Available
Form FN.200.5 FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI) Form and Instruction Unchanged Available
Form FN.200.4 FoodNet Variable List_ (SALMONELLA) Form and Instruction Unchanged Available
Form FN.200.3 FoodNet Variable List,_ (LISTERIA MONOCYTOGENES) Form and Instruction Unchanged Available
Form FN.200.2 FoodNet Variable List_ (CYCLOSPORA) Form and Instruction Unchanged Available
Form FN.200.1 FoodNet Variable List_ (CAMPYLOBACTER) Form and Instruction Unchanged Available
Form FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW Form and Instruction Modified Available
Form FN.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form Form and Instruction Unchanged Available
Form FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form Form and Instruction Modified Available
Form ABC 100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM Form and Instruction Modified Available
Form ABC 100.2 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years) Form and Instruction Unchanged Available
Form ABC.100.1 Active Bacterial Core Surveillance (ABCs) Case Report Form and Instruction Modified Available
EIP 0920-0978_Non-sub change request_April2026_correctedfinal.docx Justification for No Material/Nonsubstantive Change Uploaded 2026-04-21 Available
Att 2_Collection Instrument Cross walk_2026nonsub.docx Supplementary Document Uploaded 2026-04-21 Available
Att 1_Explanation for Program Changes or Adjustments_2026 non-sub.docx Supplementary Document Uploaded 2026-04-21 Available
2. Supporting Statement Part B_EIP OMB Revision_09162025.docx Supporting Statement B Uploaded 2025-11-20 Available
1. Supporting Statement Part A_EIP OMB Revision_01052026.docx Supporting Statement A Uploaded 2026-01-09 Available
Att. 5-Explanation for Program Changes_SSA.docx Supplementary Document Uploaded 2026-01-09 Available
Att. 4-Human Subjects Determination Memo.pdf Supplementary Document Uploaded 2025-11-20 Available
Att. 3- 20250916_EIP_PIA.pdf Supplementary Document Uploaded 2025-11-20 Available
Att. 2-Federal Register 60day FRN 2025-13102.pdf Supplementary Document Uploaded 2025-11-20 Available
Att. 1-Section 301 of the Public Health Service Act (42 USC 241).pdf Supplementary Document Uploaded 2025-11-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
278146 HAIC MuGSI KPC and NDM Treatment Collection Form Form and Instruction UnchangedHAIC MuGSI KPC and NDM treatment collection form
253051 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project Form and Instruction UnchangedData Elements Transferred to CDC for the HAIC Death Ascertainment Project
253049 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Form and Instruction ModifiedHAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey
253048 Community-Associated CP-CRE Interview Form and Instruction UnchangedCommunity-Associated CP-CRE Interview
235058 HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE Form and Instruction UnchangedLABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE
235057 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey Form and Instruction UnchangedHAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
235056 CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey Form and Instruction ModifiedCDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey
235055 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey Form and Instruction UnchangedEmerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey
235054 HAIC-Surveillance Officer's Survey Form and Instruction ModifiedHAIC Surveillance Officer’s Survey
235053 Annual Survey of Laboratory Testing Practices for C. difficile Infection Form and Instruction ModifiedAnnual Survey of Laboratory Testing Practices for C. difficile Infection
235052 FluSurv-NET Laboratory Survey Form ModifiedFluSurv-NET Laboratory Survey
235051 FoodNET Lab Survey Variable List Form UnchangedFoodNET Lab Survey Variable List
231114 CANDIDEMIA CASE REPORT FORM Form and Instruction UnchangedCANDIDEMIA CASE REPORT FORM
231113 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report Form and Instruction ModifiedInvasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report
231111 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM Form and Instruction ModifiedFLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM
217336 (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report Form and Instruction ModifiedMulti-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report
217334 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT Form and Instruction ModifiedCLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT
207663 FoodNet Variable List_ (YERSINIA) Form and Instruction UnchangedFoodNet Variable List_ (YERSINIA)
207662 FoodNet Variable List_ (VIBRIO) Form and Instruction UnchangedFoodNet Variable List_ (VIBRIO)
207661 FoodNet Variable List_ (SHIGELLA) Form and Instruction UnchangedFoodNet Variable List_ (SHIGELLA)
207660 FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI) Form and Instruction UnchangedFoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)
207659 FoodNet Variable List_ (SALMONELLA) Form and Instruction UnchangedFoodNet Variable List_ (SALMONELLA)
207658 FoodNet Variable List_ (LISTERIA MONOCTOGENES) Form and Instruction UnchangedFoodNet Variable List,_ (LISTERIA MONOCYTOGENES)
207657 FoodNet Variable List_ (CYCLOSPORA) Form and Instruction UnchangedFoodNet Variable List_ (CYCLOSPORA)
207655 FoodNet Variable List_(CAMPYLOBACTER) Form and Instruction UnchangedFoodNet Variable List_ (CAMPYLOBACTER)
207653 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) Form and Instruction ModifiedFLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW
207652 FoodNet Hemolytic Uremic Syndrome (HUS) Form and Instruction UnchangedFoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form
207651 FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form Form and Instruction ModifiedInfluenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form
207649 Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form Form and Instruction ModifiedACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM
207648 ABCs Invasive Pneumococcal Disease in Children and Adults Form and Instruction UnchangedACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years)
207646 Active Bacterial Core Surveillance (ABCs) Case Report Form and Instruction ModifiedActive Bacterial Core Surveillance (ABCs) Case Report
ICR Details
0920-0978 202604-0920-003
Received in OIRA 202509-0920-011
HHS/CDC 0920-26-0183
[NCEZID] Emerging Infections Program
No material or nonsubstantive change to a currently approved collection   No
Regular 04/22/2026
  Requested Previously Approved
01/31/2029 01/31/2029
84,146 89,088
38,269 40,733
0 0

The Emerging Infections Programs (EIP) is to 1) detect and monitor emerging pathogens, the diseases they cause, and the factors influencing their emergence, and respond to problems as they are identified, 2) integrate laboratory science and epidemiology to optimize public health practice, 3) strengthen infrastructure to support surveillance and research and to implement prevention and control programs, and to 4) ensure implementation of prevention strategies and communication of public health information about emerging diseases. Surveillance efforts of the core EIP activities generate reliable estimates of the incidence of certain infections and provide the foundation for a variety of epidemiologic studies. This Change Request includes minor changes to instruments.

US Code: 42 USC 301 Name of Law: Public Health Service Act
  
None

Not associated with rulemaking

  90 FR 31204 07/14/2025
90 FR 47764 10/02/2025
No

31
IC Title Form No. Form Name
(MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report HAIC.400.1 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report
ABCs Invasive Pneumococcal Disease in Children and Adults ABC 100.2 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) INVASIVE PNEUMOCOCCAL DISEASE IN CHILDREN (aged ≥2 months to <5 years) AND ADULTS (aged ≥65 years)
Active Bacterial Core Surveillance (ABCs) Case Report ABC.100.1 Active Bacterial Core Surveillance (ABCs) Case Report
Active Bacterial Core Surveillance (ABCs) Neonatal Infection Expanded Tracking Form ABC 100.5 ACTIVE BACTERIAL CORE SURVEILLANCE (ABCs) NEONATAL INFECTION EXPANDED TRACKING FORM
Annual Survey of Laboratory Testing Practices for C. difficile Infection HAIC.400.8 Annual Survey of Laboratory Testing Practices for C. difficile Infection
CANDIDEMIA CASE REPORT FORM HAIC.400.11 CANDIDEMIA CASE REPORT FORM
CDC's Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey HAIC.400.5 CDC’s Healthcare-Associated Infections Community Interface (HAIC) Staphylococcus aureus Laboratory Survey
CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT HAIC.400.7 CLOSTRIDIOIDES DIFFICILE INFECTION (CDI) SURVEILLANCE EMERGING INFECTIONS PROGRAM CASE REPORT
Community-Associated CP-CRE Interview HAIC.400.2 Community-Associated CP-CRE Interview
Data Elements Transferred to CDC for the HAIC Death Ascertainment Project HAIC.400.13 Data Elements Transferred to CDC for the HAIC Death Ascertainment Project
Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey HAIC.400.10 Emerging Infections Program C. difficile Surveillance Nursing Home Telephone Survey
FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW (English/Spanish) FSN.300.2 FLUSURV-NET: CONSENT FORM FOR PATIENT/PROXY INTERVIEW
FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM FSN.300.3 FLUSURV-NET: PROVIDER PEDIATRIC VACCINATION HISTORY REQUEST LETTER/FORM
FluSurv-NET Laboratory Survey FSN.300.4 FluSurv-NET Laboratory Survey
FluSurv-Net Influenza Hospitalization Surveillance Network Case Report Form FSN.300.1 Influenza Hospitalizatin Surveillance Network (FluSurv-NET) Case Report Form
FoodNET Lab Survey Variable List FN.200.10 FoodNET Lab Survey Variable List
FoodNet Hemolytic Uremic Syndrome (HUS) FN.200.9 FoodNet CDC's FoodNet Hemolytic Uremic Syndrome (HUS) Surveillance Case Report Form
FoodNet Variable List_ (CYCLOSPORA) FN.200.2 FoodNet Variable List_ (CYCLOSPORA)
FoodNet Variable List_ (LISTERIA MONOCTOGENES) FN.200.3 FoodNet Variable List,_ (LISTERIA MONOCYTOGENES)
FoodNet Variable List_ (SALMONELLA) FN.200.4 FoodNet Variable List_ (SALMONELLA)
FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI) FN.200.5 FoodNet Variable List_ (SHIGA TOXIN PRODUCING E.COLI)
FoodNet Variable List_ (SHIGELLA) FN.200.6 FoodNet Variable List_ (SHIGELLA)
FoodNet Variable List_ (VIBRIO) FN.200.7 FoodNet Variable List_ (VIBRIO)
FoodNet Variable List_ (YERSINIA) FN.200.8 FoodNet Variable List_ (YERSINIA)
FoodNet Variable List_(CAMPYLOBACTER) FN.200.1 FoodNet Variable List_ (CAMPYLOBACTER)
HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey HAIC.400.6 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
HAIC MuGSI KPC and NDM Treatment Collection Form HAIC.400.14 HAIC MuGSI KPC and NDM treatment collection form
HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey HAIC.400.3 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey
HAIC-Surveillance Officer's Survey HAIC.400.9 HAIC Surveillance Officer’s Survey
HAIC_LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE HAIC.400.12 LABORATORY TESTING PRACTICES FOR CANDIDEMIA QUESTIONNAIRE
Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report

  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 84,146 89,088 0 -4,942 0 0
Annual Time Burden (Hours) 38,269 40,733 0 -2,464 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Some of the respondents and responses were adjusted for accuracy.

$41,699,051
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.
04/22/2026