[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.
COVID-19 Hospital Data Form (Psychiatric and Rehabilitation Facilities)