Change Memo for
“National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19)
Surveillance in Healthcare Facilities”
(OMB Control No. 0920-1290)
Expiration Date: 09/30/2020
Program Contact
Lauren Wattenmaker
Surveillance Branch
Division of Healthcare Quality Promotion
National Center for Emerging and Zoonotic Infectious Diseases
Centers for Disease Control and Prevention
Atlanta, Georgia 30333
Phone: 404-718-5842
Email: [email protected]
Submission Date: August 20, 2020
The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests a nonmaterial/non-substantive of the currently approved Information Collection Request: “National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities (OMB Control No. 0920-1290).”
CDC is updating the COVID-19 Module, Long Term Care Facility (LTCF): Resident Impact and Facility Capacity form (CDC 57.144) to capture access information related to the rapid point-of-care diagnostic testing devices that have been and continue to be sent to LTCFs across the United States. All nursing homes are expected to have a testing device by Sept. 6th, 2020. The new questions will allow NHSN to assess the impact of the devices in terms of nursing home outcomes among residents and healthcare personnel. We estimate these changes will add an additional five minutes to the total burden for this form.
The previous burden calculated for this entire data collection consisted of 1,393,627 hours. As a result of the changes proposed in this change memo, the new burden will consist of 1,647,976 hours.
Type of Respondent |
Form Name |
No. of Respondents |
No. Responses per Respondent |
Avg. Burden per response (in hrs.) |
Total Burden (in hrs.) |
LTCF personnel |
COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form |
9,782 |
26 |
40/60 |
169,555 |
Business and financial operations occupations |
COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form |
2,446 |
26 |
40/60 |
42,397 |
State and local health department occupations |
COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form |
2,446 |
26 |
40/60 |
42,397 |
Total form burden |
|
254,349 |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Wattenmaker, Lauren (CDC/DDID/NCEZID/DHQP) |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |