National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities

ICR 202101-0920-017

OMB: 0920-1317

Federal Form Document

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Justification for No Material/Nonsubstantive Change
2021-01-28
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supplementary Document
2020-09-21
Supporting Statement B
2020-09-21
Supporting Statement A
2021-01-15
IC Document Collections
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245466 New
245464 New
245463 New
243719 Unchanged
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243717 Unchanged
243716 Unchanged
243714 Unchanged
243713 Unchanged
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243702 Unchanged
243701 Modified
243700 Modified
243699 Modified
243698 Unchanged
ICR Details
0920-1317 202101-0920-017
Received in OIRA 202009-0920-011
HHS/CDC 0920-1317-21CP
National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
No material or nonsubstantive change to a currently approved collection   No
Regular 01/28/2021
  Requested Previously Approved
01/31/2024 01/31/2024
4,530,322 3,731,550
1,386,566 1,186,873
0 0

The goal of this information collection is to 1) capture the daily, aggregate impact of COVID-19 on healthcare facilities, and 2) monitor medical capacity to respond at local, state, and national levels. This information will be used to inform the overall real-time COVID-19 response efforts and possible resource allocation, and enable state and local health departments to gain immediate access to the COVID-19 data for healthcare facilities within their jurisdiction. This Non-Substantive Change Request is submitted to evaluate COVID-19 vaccine effectiveness or impact for a resident with newly positive COVID-19 viral test result. Modifications have been made to the COVID-19 Module, Resident Impact and Facility Capacity form, and a new form COVID-19 Module, Long Term Care Facility: Resident Therapeutics is added to the approved package.

US Code: 42 USC 242b, k, m Name of Law: The Public Health Service Act
  
None

Not associated with rulemaking

  85 FR 21443 04/17/2020
85 FR 59313 09/21/2020
Yes

23
IC Title Form No. Form Name
Resident Therapeutics - State and Local Health Dept. Occupations 0920-1317 CDC 57.XXX Long Term Care Facility: Resident Therapeutics
Resident Therapeutics - LTCF Personnel 0920-1317 CDC 57.XXX Long-Term Care Facility: Resident Therapeutics
Resident Therapeutics - Business and Financial Operations Occupations 0920-1317 CDC 57.XXX Long Term Care Facility: Resident Therapeutics
NHSN and Secure Access Management Services (SAMS) enrollment 0920-20LW NHSN Registration Form
Resident Impact and Facility Capacity - Business and Financial Operations Occupations CDC 57.144, 0920-1317 CDC 57.144 Resident Impact and Facility Capacity ,   Resident Impact and Facility Capacity
Staff and Personnel Impact - LTCF Personnel CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - Business and Financial Operations Occupations CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel retrospective CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - Business and Financial Operations Occupations retrospective CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations retrospective CDC 57.145 Staff and Personnel Impact
Supplies & Personal Protective Equipment - LTCF Personnel CDC 57.146 Supplies & Personal Protective Equipment
Supplies & Personal Protective Equipment - Business and Financial Operations Occupations CDC 57.146 Supplies & Personal Protective Equipment
Supplies & Personal Protective Equipment - State and Local Health Dept Occupations CDC 57.146 Supplies & Personal Protective Equipment
Ventilator Capacity & Supplies - LCTF Personnel CDC 57.147 Ventilator Capacity & Supplies
Ventilator Capacity & Supplies - Business and Financial Operations Occupations CDC 57.147 Ventilator Capacity & Supplies
Ventilator Capacity & Supplies - State and Local Health Dept Occupations CDC 57.147 Ventilator Capacity & Supplies
Resident Impact and Facility Capacity - State and Local Health Dept Occupations CDC 57.144, 0920-1317 CDC 57.144 Resident Impact and Facility Capacity ,   Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - LTCF Personnel retrospective CDC 57.144 Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - Business and Financial Operations Occupations retrospective CDC 57.144 Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - State and Local Health Dept Occupations retrospective CDC 57.144 Resident Impact and Facility Capacity
Dialysis Component 0920-20LW Dialysis Component
Resident Impact and Facility Capacity - LTCF Personnel 0920-1317 CDC 57.144, CDC 57.144 Resident Impact and Facility Capacity ,   Resident Impact and Facility Capacity
Staff and Personnel Impact - State and Local Health Dept Occupations CDC 57.145 Staff and Personnel Impact

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,530,322 3,731,550 0 798,772 0 0
Annual Time Burden (Hours) 1,386,566 1,186,873 0 199,693 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden increase due to modifications made to Resident Impact Facility Capacity Form and addition of Resident Therapeutics Form.

$0
No
    Yes
    No
No
No
No
Yes
Jeffrey Zirger 404 639-7118 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/28/2021


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