[NCEZID] National Healthcare
Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in
Healthcare Facilities
No
material or nonsubstantive change to a currently approved
collection
No
Regular
09/07/2023
Requested
Previously Approved
03/31/2026
03/31/2026
6,519,463
6,867,726
5,614,755
6,523,629
0
0
The goal of this information
collection is to 1) capture the daily, aggregate impact of COVID-19
on healthcare facilities, and 2) monitor medical capacity to
respond at local, state, and national levels. This information will
be used to inform the overall real-time COVID-19 response efforts
and possible resource allocation, and enable state and local health
departments to gain immediate access to the COVID-19 data for
healthcare facilities within their jurisdiction. This Change
Request is submitted to modify the following forms: 1. Hospital
COVID-19 Data Collection Form 2. Weekly Vaccination Cumulative
Summary for Residents of Long-Term Care Facilities (57.218) 3.
COVID-19 and Respiratory Infections Module Long Term Care Facility
Resident Impact and Facility Capacity Pathway Form (57.144)
Modifications include addition of optional data elements regarding
RSV and influenza.
Change Request for 0920-1317
makes modifications to three previously approved forms: 1. Hospital
COVID-19 Data Collection Form 2. Weekly Vaccination Cumulative
Summary for Residents of Long-Term Care Facilities (57.218) 3.
COVID-19 and Respiratory Infections Module Long Term Care Facility
Resident Impact and Facility Capacity Pathway Form (57.144)
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.