Information Collection Request

Healthcare Facilities Granting State Health Departments Access to Electronic Health Record Data during a Healthcare-Associated Infection Outbreak: A Retrospective Assessment

ICR 201502-0920-016 · OMB 0920-1075 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Telephone Interview Guide for Informatics Directors Form and Instruction New Available
Telephone Interview Guide for Infection Preventionist, Clinic Director, or Other as Referred Form and Instruction New Available
Appendix M_60 Day FRN Comment_EHR Final 02 03 15.docx Supplementary Document Uploaded 2015-02-26 Available
Appendix H_ Healthcare Facility POC_Final.docx Supplementary Document Uploaded 2015-02-26 Available
Appendix F_CDC IRB Letter of Determination.pdf Supplementary Document Uploaded 2015-02-26 Available
Appendix C _Phase I Summary Report_Final.docx Supplementary Document Uploaded 2015-02-26 Available
Appendix B_60 day published.pdf Supplementary Document Uploaded 2015-02-26 Available
Appendix_A_Authorizing_Regulations_T42_section_241.doc Supplementary Document Uploaded 2015-02-26 Available
Supporting_Statement_B_ EHR 02 18 15.docx Supporting Statement B Uploaded 2015-02-26 Available
Supporting Statement A_EHR 25FEB2015.docx Supporting Statement A Uploaded 2015-02-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
215347 Telephone Interview Guide for Informatics Directors Form and Instruction New
215336 Telephone Interview Guide for Infection Preventionist, Clinic Director, or Other as Referred Form and Instruction New
215333 Request for Point of Contact at Health Care Facility Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2016 12 Months From Approved
165 0 0
90 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 165 0 0 165 0 0
Annual Time Burden (Hours) 90 0 0 90 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No