Point of Care Testing Results

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1317 can be found here:

Documents and Forms

Document Name Document Type
Form 57.155 Point of Care Testing Results Form and Instruction
Form 57.155 Point of Care Testing Results Form and Instruction
57.155 Point of Care Testing Results 57.155_Point of Care Testing V14-Clean.docx Form and Instruction
57.155 Point of Care Testing Results 57.155_Point of Care Testing V14-Clean.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Point of Care Testing Results	Agency IC Tracking Number:	0920-1317-24DT

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

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	57.155	Point of Care Testing Results	57.155_Point of Care Testing V14-Clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,270	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	470,250	470,250
Annual IC Time Burden (Hours)	78,375	78,375
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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