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57.113 Pediatric Ventilator-Associated Event (PedVAE)
[NCEZID] The National Healthcare Safety Network (NHSN)
OMB: 0920-0666
IC ID: 222890
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202310-0920-013
IC 222890
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:
2024-02-28 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 57.113
57.113 Pediatric Ventilator-Associated Event (PedVAE)
Form and Instruction
57.113 Pediatric Ventilator-Associated Event (PedVAE)
57.113_Pediatric VAE_November_2022.docx
Form and Instruction
57.113 Pediatric Ventilator-Associated Event (PedVAE)
57.113_Pediatric VAE_November_2022.docx
Form and Instruction
57.113_Pediatric VAE_November_2022.docx
57.113 PedVAE with GISAB edits in tracked changes
IC Document
57.113_Pediatric VAE_November_2022.docx
57.113 PedVAE with GISAB edits in tracked changes
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
57.113 Pediatric Ventilator-Associated Event (PedVAE)
Agency IC Tracking Number:
0920-0666
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
57.113
Pediatric Ventilator-Associated Event (PedVAE)
57.113_Pediatric VAE_November_2022.docx
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
334
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
334
0
0
0
0
334
Annual IC Time Burden (Hours)
173
0
0
0
0
173
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
57.113 PedVAE with GISAB edits in tracked changes
57.113_Pediatric VAE_November_2022.docx
04/25/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.