NHSN and Secure Access Management Services (SAMS) enrollment

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

OMB: 0920-1317

IC ID: 243698

Information Collection (IC) Details

View Information Collection (IC)

NHSN and Secure Access Management Services (SAMS) enrollment 0920-20LW
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-20LW NHSN Registration Form NHSN registration form.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

11,500 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 11,500 0 0 0 0 11,500
Annual IC Time Burden (Hours) 11,500 0 0 0 0 11,500
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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