57.122 HAI Progress Report State Health Department Survey

[NCEZID] The National Healthcare Safety Network (NHSN)

OMB: 0920-0666

IC ID: 233214

Information Collection (IC) Details

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57.122 HAI Progress Report State Health Department Survey 0920-0666
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC 55.122 State Health Department HAI Mandate and Validatyion Survey 57.122_ State Health Department HAI Mandate and Validation Survey_BLANK.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

55 0
   
State, Local, and Tribal Governments
 
   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 55 0 0 0 0 55
Annual IC Time Burden (Hours) 26 0 0 0 0 26
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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