57.126 MDRO or CDI Infection Event

[NCEZID] The National Healthcare Safety Network (NHSN)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 57.126 57.126 MDRO or CDI Infection Event Form
Form CDC 57.126 57.126 MDRO or CDI Infection Event Form
CDC 57.126 MDRO or CDI Infection Event 57.126_MDROInfectionEvent_BLANK.DOCX Form
CDC 57.126 MDRO or CDI Infection Event 57.126_MDROInfectionEvent_BLANK.DOCX Form
57.126 MDRO or CDI Infection Event (with revised GISAB question 57.126_MDROInfectionEvent_November_2022.docx Form
57.126 MDRO or CDI Infection Event (with revised GISAB question 57.126_MDROInfectionEvent_November_2022.docx Form
57.126_MDROInfectionEvent_November_2022.docx MDRO or CDI Infection Event (with revised GISAB questions in tracked changes) IC Document
57.126_MDROInfectionEvent_November_2022.docx MDRO or CDI Infection Event (with revised GISAB questions in tracked changes) IC Document

Information Collection (IC) Details

IC Title:	57.126 MDRO or CDI Infection Event	Agency IC Tracking Number:

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	CDC 57.126	MDRO or CDI Infection Event	57.126_MDROInfectionEvent_BLANK.DOCX		Yes	Yes	Fillable Fileable
Form	57.126	MDRO or CDI Infection Event (with revised GISAB questions)	57.126_MDROInfectionEvent_November_2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 720	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	7,920	7,920
Annual IC Time Burden (Hours)	4,092	4,092
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
MDRO or CDI Infection Event (with revised GISAB questions in tracked changes)	57.126_MDROInfectionEvent_November_2022.docx	04/25/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.