57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)

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⚠️ Notice: This information collection may be referencing outdated material.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 CDC 57.117 57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC) Form
CDC 57.117 Denominators for Specialty Care Area (SCA) Oncology (ONC 57.117_DenominatorSCA_BLANK.docx Form
Att G.6_Inst for Completion of Denominators (NICU).pdf Att G.6 Inst for Completion of Denominators for NICU IC Document

Information Collection (IC) Details

IC Title:	57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	CDC 57.117	Denominators for Specialty Care Area (SCA) Oncology (ONC)	57.117_DenominatorSCA_BLANK.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	54,000	54,000
Annual IC Time Burden (Hours)	270,000	270,000
Annual IC Cost Burden (Dollars)	8,449,600	8,449,600

Documents for IC

Title	Document	Date Uploaded
Att G.6 Inst for Completion of Denominators for NICU	Att G.6_Inst for Completion of Denominators (NICU).pdf	08/25/2014

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