Monthly Reporting Plan form for Long-term Care Facilities

[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities

OMB: 0920-1317

IC ID: 249437

Information Collection (IC) Details

View Information Collection (IC)

Monthly Reporting Plan form for Long-term Care Facilities 0920-1317
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CDC Form 57.141 Monthly Reporting Plan for LTCF 57.141_ReportPlan_LTCF_July2021.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

 

16,864 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 151,776 0 0 0 0 151,776
Annual IC Time Burden (Hours) 12,648 0 0 0 0 12,648
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy