LTC Resident Impact - business operations occupations

National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities

OMB: 0920-1290

IC ID: 241491

Information Collection (IC) Details

View Information Collection (IC)

LTC Resident Impact - business operations occupations
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Resdient impact and facility capactiy CDC 57.144_COVID-19 form_Resident Impact and Facility Capacity_v3_Ready for DEV 7.23.20.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,446 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 63,596 0 0 0 0 63,596
Annual IC Time Burden (Hours) 37,098 0 15,899 0 0 21,199
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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