OMB Control No: 0920-1317
ICR Reference No:
202102-0920-015
Status: Active
Previous ICR Reference No: 202101-0920-017
Agency/Subagency: HHS/CDC
Agency Tracking No:
0920-1317-21DO
Title: National Healthcare Safety
Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare
Facilities
Type of Information Collection: No
material or nonsubstantive change to a currently approved
collection
Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved
with change
Conclusion Date: 02/26/2021
Retrieve
Notice of Action (NOA)
Date Received in OIRA:
02/26/2021
Terms of Clearance: CDC will work
with its OIRA desk officer should changes due to the changing
nature of the public health emergency be necessary. CDC will detail
in all publications and use of the data any limitations based upon
changes in respondent characteristics.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2024
01/31/2024
01/31/2024
Responses
4,530,322
0
4,530,322
Time Burden (Hours)
1,519,695
0
1,386,566
Cost Burden (Dollars)
0
0
0
Abstract: 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 make modifications
to the LTCF: Supplies and PPE, and Dialysis Component
instruments.
Authorizing Statute(s): US Code:
42 USC 242b, k, m Name of Law: The Public Health Service
Act
Citations for New Statutory
Requirements: None
Associated Rulemaking
Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices &
Comments
60-day Notice:
Federal Register Citation:
Citation Date:
85 FR
21443
04/17/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR
59313
09/21/2020
Did the Agency receive public comments on
this ICR?
Yes
Number of Information Collection (IC) in this
ICR: 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
0920-1317 CDC 57.144, CDC 57.144
Resident Impact
and Facility Capacity , Resident Impact and Facility
Capacity
Resident Impact and
Facility Capacity - State and Local Health Dept
Occupations
0920-1317 CDC 57.144, 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
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, CDC 57.146
Supplies &
Personal Protective Equipment , COVID-19 Module - LTCF:
Supplies and Personal Protective Equipment
Supplies &
Personal Protective Equipment - Business and Financial Operations
Occupations
CDC 57.146, CDC 57.146
Supplies &
Personal Protective Equipment , COVID-19 Module - LTCF:
Supplies and Personal Protective Equipment
Supplies &
Personal Protective Equipment - State and Local Health Dept
Occupations
CDC 57.146, CDC 57.146
Supplies &
Personal Protective Equipment , COVID-19 Module - LTCF:
Supplies and 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
Dialysis
Component
0920-20LW, 0920-1317
Dialysis
Component , COVID-19 Module Dialysis
Outpatient Facility
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
ICR Summary of Burden
Total Approved
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
4,530,322
0
0
0
0
Annual Time Burden (Hours)
1,519,695
1,386,566
0
133,129
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency
Discretion: Yes
Burden Increase Due to: Miscellaneous
Actions
Burden decreases because of Program Change due to Agency
Discretion: No
Burden Reduction Due to:
Short Statement: Burden increase due to
modifications made to COVID-19 Module - LTCF: Supplies and Personal
Protective Equipment and Dialysis Component Forms..
Annual Cost to Federal Government: $0
Does this IC contain surveys, censuses, or employ
statistical methods? No
Does this ICR request any personally identifiable
information (see OMB Circular No. A-130 for an
explanation of this term)? Please consult with your agency's
privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act
Statement (see 5
U.S.C. §552a(e)(3) )? Please consult with your agency's privacy
program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L.
111-148 & 111-152]? No
Is this ICR related to the Dodd-Frank Wall Street Reform
and Consumer Protection Act, [Pub. L. 111-203]? No
Is this ICR related to the American Recovery and
Reinvestment Act of 2009 (ARRA)? No
Is this ICR related to the Pandemic Response?
Yes
Agency Contact: Jeffrey Zirger 404 639-7118
[email protected]