LTC Supplies and PPE - state/local health depts.

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

OMB: 0920-1290

IC ID: 241498

Information Collection (IC) Details

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LTC Supplies and PPE - state/local health depts.
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none LTC Supplies and PPE LTC_SUPPLIESv2 042320.docx Yes Yes Fillable Fileable

Health Health Care Services

 

2,446 0
   
State, Local, and Tribal Governments
 
   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) 15,899 0 0 0 0 15,899
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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