Request for change 6.4.2020

Change Memo for COVID HAI 060320.docx

The National Healthcare Safety Network (NHSN)

Request for change 6.4.2020

OMB: 0920-0666

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Change Memo for

“The National Healthcare Safety Network (NHSN)”

(OMB Control No. 0920-0666)

Expiration Date: 12/31/2022
































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: June 2, 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) (OMB Control No. 0920-0666).”


The CDC seeks to update seven data collection instruments from the NHSN Patient Safety Component. These forms will be updated to include an optional field for the facility to indicate whether the patient has suspected or confirmed COVID-19.  NHSN is adding this field to help CDC determine potential association of healthcare-associated infections (HAIs) with COVID-19 and patient outcomes.  Many facilities are currently reporting this information as a comment and/or in a custom field for their own facility use. Adding fields that specifically request information about COVID-19 presence will enable consistent data analysis in NHSN for facilities and for CDC’s use. Because facilities are already collecting information on COVID-19, we estimate the burden to be nominal and have therefore added one additional minute to each form.


Type of Respondent

Form Name

No. of Respondents

No. Responses per Respondent

Avg. Burden per response (in hrs.)

Total Burden (in hrs.)

Change in Burden (in hrs.)


Microbiologist (IP)

57.108 Primary Bloodstream Infection

5,775

5

39/60

18,769

18,288

Microbiologist (IP)

57.111 Pneumonia (PNEU)

1,800

30

31/60

27,900

27,000

Microbiologist (IP)

57.112 Ventilator Associated Event

5,500

5

29/60

13,292

12,833

Microbiologist (IP)

57.113 Pediatric Ventilator Associated Event

334

120

31/60

20,708

20,040

Microbiologist (IP)

57.114 Urinary Tract Infection

5,500

5

21/60

9,625

9,167

Microbiologist (IP)

57.115 Custom Event

600

91

36/60

32,760

31,850

Microbiologist (IP)

57.120 Surgical Site Infection

4,500

11

36/60

29,700

28,875


The overall burden for this package approved on December 2, 2020 was 3,113,631 hours. These changes represent an overall burden increase of 4,701 hours for a new total of 3,118,332 hours for the package.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWattenmaker, Lauren (CDC/DDID/NCEZID/DHQP)
File Modified0000-00-00
File Created2021-04-12

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