Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report

[NCEZID] Emerging Infections Program

OMB: 0920-0978

IC ID: 231113

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Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
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Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report 0920-0978
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction HAIC 400.4 2024 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report_rev 2025 HAIC_400_4_iSA2024_CRF_2025update2.pdf N/A Yes Yes Fillable Fileable
Form and Instruction HAIC 400.4 2025 Invasive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report_rev 2025 HAIC_400_4_iSA2025_CRF_v2.pdf N/A Yes Yes Fillable Fileable
Form and Instruction HAIC 400.4 2022 Invasive Methicillin-Resistant Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report _rev 2025 HAIC_400_4_MRSA2022_FINAL2_2025update2.pdf N/A Yes Yes Fillable Fileable
Form and Instruction HAIC 400.4 2023 Invasive Methicillin-Resistant Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report _rev 2025 HAIC_400_4_MRSA2023_2025update2.pdf N/A Yes Yes Fillable Fileable
Form and Instruction HAIC 400.4 2022 Invasive Methicillin-Sensitive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report _rev 2025 HAIC_400_4_MSSA2022_FINAL2_2025updated2.pdf N/A Yes Yes Fillable Fileable
Form and Instruction HAIC 400.4 2023 Invasive Methicillin-Sensitive Staphylococcus aureus Healthcare-Associated Infections Community Interface (HAIC) Case Report _rev 2025 HAIC_400_4_MSSA2023_2025update2.pdf N/A Yes Yes Fillable Fileable
Form and Instruction HAIC 400.4 HAIC.400.4 Invasive Staphylococcus aureus HAIC Case Report - 2026 HAIC.400.4_iSA2026_CRF.pdf N/A Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

10 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 7,880 0 0 0 0 7,880
Annual IC Time Burden (Hours) 3,809 0 0 0 0 3,809
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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