57.136 Long Term Care Facility Component - Respiratory Tract Infection

[NCEZID] The National Healthcare Safety Network (NHSN)

OMB: 0920-0666

IC ID: 238093

Information Collection (IC) Details

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57.136 Long Term Care Facility Component - Respiratory Tract Infection 0920-0666
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.136 Long-Term Care Facility Component – Respiratory Tract Infection 57.136_RTI_LTCF_BLANK.docx Yes Yes Fillable Fileable

Health Health Care Services

 

300 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 1,800 0 0 0 0 1,800
Annual IC Time Burden (Hours) 150 0 0 0 0 150
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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