There are 8 total forms being changed as a part of this non substantive change request. This change request includes minor revised language, formatting and rewording to improve clarity and readability of the data collection forms.
Details of each collection instrument are as follows:
FoodNet
This non-substantive change request includes minor proposed changes to 1 approved data collection tools (form/s) detailed below:
Approved Forms:
FN200.1-FN200.8 (FoodNet Active Surveillance Data Elements List)
HAIC
This non-substantive change request includes minor proposed changes to 8 approved data collection tools (form/s) detailed below:
Approved Forms:
HAIC.400.1–Multi-Site Gram-Negative Surveillance Initiative (MuGSI) Case Report Form
HAIC.400.3–HAIC MuGSI Supplemental Surveillance Officer Survey
HAIC.400.4–Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report - 2025
HAIC.400.6–2024 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
HAIC.400.7 - CDI Case Report and Treatment Form
HAIC.400.8 - Annual Survey of Laboratory Testing Practices for C. difficile Infections
HAIC.400.9 - HAIC- CDI Annual Surveillance Officers Survey
HAIC.400.1 – HAIC- 2026 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Case Report Form |
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
2026 Multi-site Gram-Negative Surveillance Initiative (MuGSI) Healthcare-Associated Infections Community Interface (HAIC) Case Report From Changes:
Justification: Updated to reflect the surveillance year |
None |
|
Administrative/Addition of Response Option |
Question 17a: Types of Infections Associated with Culture(s) Changes:
Justification: The inconsistent nature of data collected in free-text fields make analysis challenging. The additional option offered on the form was derived from analyzing previous free-text responses, aiming to standardize and streamline data collection. |
None |
|
HAIC.400.3 – HAIC MuGSI Supplemental Surveillance Officer Survey |
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
2025 HAIC Multi-site Gram-negative Surveillance Initiative (MuGSI) Supplemental Surveillance Officer Survey Changes:
Justification: Updated to reflect the correct years in question |
None |
|
Administrative |
Please answer the following questions for the year 2025, unless otherwise specified. The purpose of the survey is to verify and document current surveillance procedures, including isolate collection and testing methods at clinical laboratories. Please enter your responses into the corresponding REDCap database. If you have questions, please contact Joshua Brandenburg (ode4@cdc.gov) and the MuGSI Inbox (mugsi@cdc.gov). Changes:
Justification: Previous contact no longer supports the program |
None |
|
Administrative |
Question 2: Did any laboratories drop out of participation in 2024? Changes:
Justification: Specifying the timeframe relative to the question |
None |
|
Administrative |
Question 3: In 2024, did you identify additional laboratories, regardless of location, which identify MuGSI isolates from persons who are residents of the MuGSI surveillance area at your site? Changes:
Justification: Specifying the timeframe relative to the question |
None |
|
Administrative |
Question 4: Did your site send any MuGSI isolates to CDC for characterization in calendar year 2024? Changes:
Justification: Specifying the timeframe relative to the question |
None |
|
Administrative |
Question 5: How many isolates with a specimen collection date in 2024 did you expect to be able to collect from the clinical laboratories? Changes:
Justification: Specifying the timeframe relative to the question |
None |
|
Administrative |
Question 6: What was the total number of isolates with a specimen collection date in 2024 that were collected from the clinical laboratories? Changes:
Justification: Specifying the timeframe relative to the question |
None |
|
Administrative |
Laboratory Participation and Isolate Testing – Part 2
Please complete the following information for each clinical laboratory participating in MuGSI surveillance at your site in 2024
Changes:
Justification: Specifying the timeframe relative to the instructions for the section. |
None |
|
Administrative |
Question 2: In 2024, did your site update its inventory of facilities within the MuGSI surveillance area? Changes:
Justification: Specifying the timeframe relative to the question |
None |
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Administrative |
Question 4: Did your site geocode MuGSI cases in 2024? Changes:
Justification: Specifying the timeframe relative to the question |
None |
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Administrative |
Question 5. Did your site match MuGSI cases to the state vital statistics death registry in 2024? Changes:
Justification: Specifying the timeframe relative to the question |
None |
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Administrative |
Question 6: Did your site complete CRF re-abstractions in 2024? Changes:
Justification: Specifying the timeframe relative to the question |
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HAIC.400.4 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface Case Report – 2026 |
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report – 2026 Changes:
Justification: Updated to reflect the surveillance year |
None |
|
Revision |
Question 28a. Does the patient have: Non-dialysis prosthetic vascular graft? □ Yes □ No □ Unknown Changes:
Justification: The addition of the word prosthetic indicates that we only want information on this subset of vascular grafts |
None |
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HAIC.400.6–2024 HAIC Invasive Staphylococcus aureus Supplemental Surveillance Officer Survey
|
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
HAIC Invasive Staphylococcus aureus Surveillance Officer Survey Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Added “Surveillance year: _______” Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Please answer the following questions for the surveillance year. The purpose of the survey is to verify and document current surveillance procedures, including cases ascertainment and auditing methods. Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Did your site send MRSA/MSSA isolates to CDC for characterization in the surveillance year? ___yes ____no Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Lab Participation and Case Finding Please answer the following questions for hospitals and labs under surveillance during the surveillance year. Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Indicate the percentage contribution of each case finding method to your site’s total SA case counts (100%) during the surveillance year. Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Do you expect this distribution and/or percentage values to change next surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Did any labs drop out of participation in the surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
In the surveillance year, did you identify any additional labs, regardless of location, which identify invasive SA isolates from persons who are residents of your catchment area? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Did your site complete CRF re-abstractions during the surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
How did your site define an audit case during the surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Indicate the percentage contribution of each case finding method to your site’s audit counts (100%) during the surveillance year. Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
How many laboratories did you audit in the surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
In the surveillance year, did your site update its inventory of facilities within the EIP catchment area? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Did your site geocode SA cases in the surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
|
Administrative |
Did your site link SA cases to vital records (mortality matching) in the surveillance year? Changes:
Justification: Allows the survey to be used across multiple years |
None |
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Administrative |
CDC staff are responsive to questions/concerns/emails (e.g., Holly Biggs, Davina Campbell, Kelly Jackson, and Isaac See) Changes:
Justification: Staff member no longer with the program |
None |
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HAIC.400.7 - HAIC 400.7 HAIC – CDI Case Report Treatment Form |
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
Change: Updated year to 2026 Justification: Updated to reflect the appropriate year of data collection |
None |
|
HAIC.400.8 - Annual Survey of Laboratory Testing Practices for C. difficile Infections |
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
Questions: Was this a new laboratory in 2025? How often did you receive line lists from this lab in 2025? How did you receive line lists from this lab in 2025? Did you receive specimens from this lab in 2025? Was this lab audited in 2025? Types of facilities in your catchment area served by this lab in 2025 Did your laboratory ever send specimens off-site for Clostridioides difficile testing in 2025? Questions 2a, 3a, 3b, 4b, 5a, 5b, 6, 7, 7a, 8 Change: Updated year to 2025 Justification: Updated to reflect the appropriate year of data collection |
None |
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HAIC.400.9 - HAIC- CDI Annual Surveillance Officers Survey |
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Type of Change |
Itemized Change / Justification |
Impact to Burden |
|
Administrative |
Questions 2, 3, 10, 13 Change: Updated year to 2025 Justification: Updated to reflect the appropriate year of data collection |
None |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Nti-Berko, Sonja Mali (CDC/NCEZID/DIDRI/RRRSB) |
File Modified | 0000-00-00 |
File Created | 2025-06-04 |