Prevalence Survey of Healthcare Associated Infections (HAIs) and Antimicrobial Use in U.S. Acute Care Hospitals

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0852 Primary Team/ EIP Team Data Collection Form	Form and Instruction	Modified	Available
Form 0920-0852 Infection Control Practioners training and other activities	Form and Instruction	Modified	Available
Form 1 EIP Personnel Prevalence Survey #2, Phase #3	Form	Removed	Repair queued
Form 1 Infection Control Practioners Prevalence Survey #2, Phase 3	Form	Removed	Available
Form 1 EIP Personnel Prevalence Survey #1, Phase 2	Form	Removed	Available
Form 1 Infection Control Practioners Prevalence Survey #1, Phase 2	Form	Removed	Available
0920-0852 Supporting Statement B_FINAL_20121108_ssm.docx	Supporting Statement B	Uploaded 2013-04-01	Available
AttachmentE_0920-0852_ NCHSConsultation_20121108.rtf	Supplementary Document	Uploaded 2013-04-02	Available
Atttach G IRB.pdf	Supplementary Document	Uploaded 2013-04-01	Available
Attachment A 42 USC 241.pdf	Supplementary Document	Uploaded 2013-04-01	Repair queued
AttachmentF_0920-0852_SupplementalInformationOnly_FINAL_20121108.docx	Supplementary Document	Uploaded 2013-04-02	Repair queued
0920-0852 Supporting Statement A_032513.doc	Supporting Statement A	Uploaded 2013-04-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196207	Primary Team/ EIP Team Data Collection Form	Form and Instruction	Modified
196206	Infection Control Practioners training and other activities	Form and Instruction	Modified
192454	EIP Personnel Prevalence Survey #2, Phase #3	Form	Removed
192453	Infection Control Practioners Prevalence Survey #2, Phase 3	Form	Removed
192452	EIP Personnel Prevalence Survey #1, Phase 2	Form	Removed
192451	Infection Control Practioners Prevalence Survey #1, Phase 2	Form	Removed

ICR Details

OMB Control No: 0920-0852	ICR Reference No: 201304-0920-003
Status: Historical Inactive	Previous ICR Reference No: 201102-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 19220
Title: Prevalence Survey of Healthcare Associated Infections (HAIs) and Antimicrobial Use in U.S. Acute Care Hospitals
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 04/29/2013
	Date Received in OIRA: 04/03/2013
Terms of Clearance: The Program will discontinue the current ICR and submit a reinstatment with change once plans for the 2014 collection have been finalized.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2013	36 Months From Approved	05/31/2013
Responses	134,480	0	134,480
Time Burden (Hours)	17,164	0	17,164
Cost Burden (Dollars)	0	0	0

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Abstract: This is a request to conduct phase 3 of this approved project: CDC proposes to conduct 2 surveys to evaluate the prevalence of healthcare-associated infections (HAIs) and antimicrobial use in acute care hospitals in multiple states. This is a three-phase project. The first phase, a small, single-city pilot survey with less than 9 respondents, is complete. Phases 2 and 3 will be conducted in collaboration with state public health authorities and with CDC's Emerging Infections Program (EIP). Phase 2 will be a limited roll-out survey involving up to 30 healthcare facilities in the 10 states with EIP sites. Phase 3, built upon experience gained in the limited roll-out, will involve up to 500 facilities in the 10 states with EIP sites using the same survey. CDC does not anticipate making changes to the data collection instrument in Phase 3.

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Authorizing Statute(s): PL: Pub.L. 111 - 5 1 Name of Law: American Recovery and Reinvestment Act of 2009
   US Code: 42 USC 241 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 71798	12/04/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 13344	02/27/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
EIP Personnel Prevalence Survey #1, Phase 2	1	2010 HAI & Antimicrobial Use Point Prevalence Survey: Primary Team Data Collection Form
Infection Control Practioners Prevalence Survey #2, Phase 3	1	2010 HAI & Antimicrobial Use Point Prevalence Survey: Primary Team Data Collection Form
Infection Control Practioners training and other activities	0920-0852	AttachmentC_0920-0852_OMBApprovedDataCollectionForm
Primary Team/ EIP Team Data Collection Form	0920-0852	AttachmentC_0920-0852_OMBApprovedDataCollectionForm
Infection Control Practioners Prevalence Survey #1, Phase 2	1	2010 HAI & Antimicrobial Use Point Prevalence Survey: Primary Team Data Collection Form
EIP Personnel Prevalence Survey #2, Phase #3	1	2010 HAI & Antimicrobial Use Point Prevalence Survey: Primary Team Data Collection Form

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden has been increased from 9,125 to 9,375 hours. This incrase of 250 hours is due to the actual experience of performing the phase 3 survey and knowledge of the median number of responses per respondent.

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Annual Cost to Federal Government: $1,455,019

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/03/2013

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