TeleTracking (TT) - U.S. HealthCare COVID-19 Portal

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

OMB: 0920-1290

IC ID: 242554

Information Collection (IC) Details

View Information Collection (IC)

TeleTracking (TT) - U.S. HealthCare COVID-19 Portal
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1290 U.S. HealthCare COVID-19 Portal Revised Webform - TeleTracking.pdf NA Yes Yes Fillable Fileable

Health Health Care Services

 

500 0
   
Individuals or Households
 
   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 90,000 0 0 0 0 90,000
Annual IC Time Burden (Hours) 45,000 0 0 0 0 45,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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