Denominators for Intensive Care Unit (ICU) Other Locations (not NICU or SCA)

The National Healthcare Safety Network (NHSN)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Document Name Document Type
Form 57.75L Denominators for Intensive Care Unit (ICU) Other Locations (not NICU or SCA) Form
57.75L Denominators for Intensive Care Unit (ICU) Other Locatio L_DenominatorICU.ppt Form

Information Collection (IC) Details

IC Title:	Denominators for Intensive Care Unit (ICU) Other Locations (not NICU or SCA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	57.75L	Denominators for Intensive Care Unit (ICU) Other Locations (not NICU or SCA)	L_DenominatorICU.ppt		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27,000	27,000
Annual IC Time Burden (Hours)	135,000	135,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.