57.142 Denominators for LTCF Locations

[NCEZID] The National Healthcare Safety Network (NHSN)

OMB: 0920-0666

IC ID: 200379

Information Collection (IC) Details

View Information Collection (IC)

57.142 Denominators for LTCF Locations 0920-0666
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC 57.142 Denominators for LTCF 57.142_DenominatorLTCF_BLANK.docx Yes Yes Fillable Printable

Health Health Care Services

 

714 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 8,568 0 4,500 0 0 4,068
Annual IC Time Burden (Hours) 4,998 0 2,625 0 0 2,373
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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