57.115 Custom Event

[NCEZID] The National Healthcare Safety Network (NHSN)

OMB: 0920-0666

IC ID: 222891

Information Collection (IC) Details

View Information Collection (IC)

57.115 Custom Event
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC 57.115 Custom Event 57.115_CUS_November_2022.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

600 0
   
Private Sector Businesses or other for-profits
 
   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 54,600 0 0 0 0 54,600
Annual IC Time Burden (Hours) 32,760 0 0 0 0 32,760
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Custom Event with GISAB edits in tracked changes 57.115_CUS_November_2022.docx 04/25/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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