Staff and Personnel Impact - LTCF Personnel retrospective

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

OMB: 0920-1317

IC ID: 243709

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

View Information Collection (IC)

Staff and Personnel Impact - LTCF Personnel retrospective 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 57.145 Staff and Personnel Impact 57.145 Staff and Personnel Form v5_CLEAN.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,811 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 5,811 0 0 0 0 5,811
Annual IC Time Burden (Hours) 484 0 0 0 0 484
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Form Instructions 57.145- staff toi V8_CLEAN.docx 05/18/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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