Justifications and Change Crosswalk

National Healthcare Safety Network (NHSN)

OMB Control No. 0920-0666

Revision Request December 2021

Explanations and justifications for proposed revisions to OMB 0920-0666

The proposed changes in this new ICR include revisions made to ten NHSN data

collection tools for a total of 86 data collection tools included in this ICR (Attachment D-2). The reporting burden estimate 1,584,651 hours. The annual cost of reporting will for a total cost burden of 109,796,778 (Attachment D-2). NHSN has achieved significant reduction in burden hours. (Attachment D-2) Also, the application of the 2019 annual labor wages will result in changes to the burden for forms submitted with this ICR .

(Attachment D-4).

Data collection form(s)	Proposed changes	Justification for changes
57.103, 57.106, 57.150, 57.151	Revised questions; no burden change	Questions revised to increase clarity. Additionally, a question was added because an understanding of the use of culture-independent diagnostic tests (CIDTs) may influence future surveillance case definitions and data management; therefore, this information is very important to collect and understand to what extent these tests are used currently.
57.108 57.111, 57.112, 57.113, 57.114, 57.115, 57.116, 57.117, 57.118, 57.120, 57.121, 57.125, 57.126, 57.127, 57.128	Edits to all HAI forms that have susceptibility reporting requirements	Additional response options for the antimicrobial agents Ceftaroline (S. aureus) and Daptomycin (Enterococcus). Additionally, the COVID-19 field will be updated from optional to required.
57.123	A new variable was added to form; no burden change	This variable allows facilities to report whether a patient was admitted to an inpatient location after having a specimen collected in an outpatient location. The time to complete this form was not changed because these changes are handled electronically on the electronic health record vendor side, thus not causing any additional time the facilities. All changes are made by the vendor annually.
57.124	No form changes; burden has increased	The number of facilities reporting data has increased from 2,500 to 3,000. Burden for this form is updated to reflect the growing number of facilities reporting AU data.
57.140	Additional response options in form; no burden change	Additional response options for the antimicrobial agents Ceftaroline (S. aureus) and Daptomycin (Enterococcus).
57.500	Edits to form; no burden change	Change was made to capture all y-types of hepatitis B vaccines administered to patient and staff members. This questions now addresses all injectable medications instead of one specific medication and allows for a better understanding of injection practices in the center
57.507	Edits to form; no burden change	Change was made to capture all y-types of hepatitis B vaccines administered to patient and staff members

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