Burden Change/Crosswalk

National Healthcare Safety Network (NHSN)

OMB Control No. 0920-0666

Emergency ICR Request December 2022

Explanations and justifications for proposed revisions to OMB 0920-0666

The proposed changes in this emergency ICR include one new form and revisions to 40 existing data collection forms. CDC requests OMB approval for an estimated 1,614,651 annual burden hours or $110,854,109. The table below summarizes the changes.

Data collection form(s)	Proposed changes	Justification for changes
Monthly survey patient days and nursing staff	New form	On a monthly basis the new form collects both nurse staffing hours and patient days for each mapped location.  For mapped locations included in the Monthly Reporting Plan, the total patient days data element collected on the new form will be drawn/pulled from the total# patient days reported on denominator forms (57.116, 57.117 & 57.118).
57.103, 57.106, 57.150, 57.151	Revised questions; no burden change	Revised question wording to increase clarity. This question replaces a question from the previous version. This replacement provides more clarification for respondents. The burden for answering this question is low and is the same as that of the similar question on the prior version. A question was added because an understanding of the use of 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. Two new sub-categories to determine which subsets of patients are included in this policy. Applicable only to survey respondents. No change to burden.
57.108, 57.111, 57.112, 57.113, 57.114, 57.121	No burden changes; edits to questions	There will not be any changes to the burden estimates, however there will be edits the HAI forms that have susceptibility reporting requirements. Namely the responses for the antimicrobial agent Ceftaroline (S. aureus) and Daptomycin (Enterococcus) will have an additional response option. This is simply an addition of a reporting option for those 2 antimicrobial agents and should not impact burden. Additionally, the COVID field will be updated from optional to required.
57.123	No burden changes; added two new variables	We’ve added two new variables to the form to capture software vendor information. These new fields will allow us to require software vendors complete a validation process prior to submitting data on behalf of their client facilities. These new fields will not affect the time it takes to complete the form and therefore no additional burden time was added.
57.124	No form changes; increased number of respondents	No updates were made to the data collection form. Increased the number of facilities submitting data from 3,000 to 4,000. This update reflects the growing number of facilities reporting AU data.
57.140	No burden changes	There will be changes to the form to keep in alignment with the PSC Component changes since most of the same drug/bug combinations are similar.
57.500	No burden changes	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.

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