Att D_Healthcare Facility Assessment (HFA)

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

OMB: 0920-0852

IC ID: 192451

Information Collection (IC) Details

View Information Collection (IC)

Att D_Healthcare Facility Assessment (HFA) 0920-0852
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Phase 4_HFA_20141114 HAI & Antimicrobial Use Prevalence Survey Healthcare Facility Assessment (HFA) Att D - HFA.pdf Yes No Fillable Printable

Health Public Health Monitoring

 

100 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 100 0 -400 0 0 500
Annual IC Time Burden (Hours) 75 0 -300 0 0 375
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att F_2015 Operational Manual Att F - EIP Prevalence Survey Ops Manual.pdf 09/19/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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