Change Request Justification

Non-Substantive Change Request to OMB Control Number 0920-0666; The National Healthcare Safety Network (NHSN)

Program Contact

Lee Samuel

National Center for Emerging and Zoonotic Infectious Diseases

Office of Policy

1600 Clifton Rd, C-12

Atlanta GA 30333

Submission Date: July 3, 2018

Circumstances of Change Request for OMB 0920-0666

CDC requests approval to replace five recently approved forms that contain content referencing “Clostridium difficile” to be updated and reflect “Clostridioides difficile.”

The five forms that are being updated have been previously approved under OMB Control No. 0920-0666; The National Healthcare Safety Network (NHSN).

Form Name:

1. 57.103 Patient Safety Component-Annual Hospital Survey

2. 57.126 MDRO or CDI Infection Form

3. 57.150 Patient Safety Component- Annual Facility Survey for LTAC

4. 57.151 Patient Safety Component-Annual Facility Survey for IRF

5. 57.500 Outpatient Dialysis Center Practices Survey

This is a request to update content in NHSN’s data collection forms that reference “Clostridium difficile,” which is scheduled for reclassification to “Clostridioides difficile” in August, 2018.

The previously approved versions of forms CDC 57.103, 57.126, 57.150, 57.151, and 57.500 are being updated to reflect the proper clinical terminology for “Clostridioides difficile.”

Estimates of annualized burden hours for this information collection will not be changed by this request.

Form Name	No. of Respondents	No. of responses per respondent	Avg. burden per response (hours)	Total burden (hours)
Patient Safety Component-Annual Hospital Survey	5,000	1	1	198,300
MDRO or CDI Infection Form	6,000	72	30/60	216,000
Patient Safety Component- Annual Facility Survey for LTAC	400	12	1	400
Patient Safety Component-Annual Facility Survey for IRF	1,000	12	1	1,000
Outpatient Dialysis Center Practices Survey	7,000	12	2	14,350

Description of Changes

Based on phenotypic, chemotaxonomic, and phylogenetic analyses, novel genus Clostridioides gen. nov. is proposed for Clostridium difficile as Clostridioides difficile gen. nov. comb. nov. and that Clostridium mangenotii be transferred to this genus as Clostridioides mangenotii comb. nov. The type species of Clostridioides is Clostridioides difficile.

Due to this reclassification, NHSN has updated all data collection forms containing the previously referenced “Clostridium difficile” to its new designation “Clostridioides difficile.” We are requesting the replacement of the approved forms with the updated versions.

Current forms (highlighted areas be change):

57.103

57.126

57.150 & 57.151

57.500

Requested changes (Highlighted):

57.103

57.126

57.150 & 57.151

57.500

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