Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary

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

OMB: 0920-1317

IC ID: 249434

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary 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 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary_26APR2024 COVIDVax.HCP.FORM_September2021_FINAL.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-1317 Healthcare Personnel COVID-19 Vaccination Cumulative Summary_CDC 57.219 26APR2024 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary CSV_Clean.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

32,900 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 2,500,400 0 0 0 0 2,500,400
Annual IC Time Burden (Hours) 1,875,300 0 0 0 0 1,875,300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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