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

ICR 202410-0920-012

OMB: 0920-1317

Federal Form Document

Forms and Documents
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Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supporting Statement B
2024-10-29
Supporting Statement A
2024-10-29
Justification for No Material/Nonsubstantive Change
2024-08-22
Justification for No Material/Nonsubstantive Change
2024-08-06
Justification for No Material/Nonsubstantive Change
2024-04-26
Justification for No Material/Nonsubstantive Change
2024-03-14
Supplementary Document
2023-09-07
Supplementary Document
2023-09-07
Justification for No Material/Nonsubstantive Change
2023-09-07
Supplementary Document
2023-09-07
Supplementary Document
2023-09-07
Supplementary Document
2023-09-07
Supplementary Document
2023-05-18
Justification for No Material/Nonsubstantive Change
2023-05-18
Supplementary Document
2023-03-06
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
IC Document Collections
IC ID
Document
Title
Status
271955 New
271950 New
271948 New
271947 New
271946 New
271945 New
271943 New
271941 New
271935 New
270333 Unchanged
270316 Unchanged
270313 Modified
270312 Modified
270310 Modified
270309 Modified
269868 Unchanged
269867 Unchanged
269866 Unchanged
269865 Unchanged
269864 Unchanged
269863 Unchanged
266012 Modified
257194 Removed
249439 Removed
249438 Removed
249437 Removed
249436 Modified
249435 Unchanged
249434 Unchanged
247669 Removed
247668 Removed
243719 Modified
243711 Removed
243710 Removed
243709 Removed
243708 Removed
243707 Removed
243706 Removed
243702 Removed
243698 Modified
ICR Details
0920-1317 202410-0920-012
Received in OIRA 202408-0920-011
HHS/CDC 0920-1317
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
Revision of a currently approved collection   No
Regular 10/30/2024
  Requested Previously Approved
36 Months From Approved 03/31/2026
3,653,433 6,086,324
1,752,540 2,766,084
0 0

The goal of this information collection is to 1) capture the daily, aggregate impact of COVID-19 on healthcare facilities, and 2) monitor medical capacity to respond at local, state, and national levels. This information will be used to inform the overall real-time COVID-19 response efforts and possible resource allocation, and enable state and local health departments to gain immediate access to the COVID-19 data for healthcare facilities within their jurisdiction. This Revision ICR is submitted to add 2 new data collection forms and make modifications/revisions to 10 currently approved data collection instruments and remove 13 instruments that are being retired from the package. . There is a net decrease in burden.to 1,752,540 hours.

US Code: 42 USC 242b, k, m Name of Law: U.S. Public Health Service Act (PHSA)
  
None

Not associated with rulemaking

  89 FR 47962 06/04/2024
89 FR 84146 10/21/2024
Yes

27
IC Title Form No. Form Name
57.101 Hospital Respiratory Data Form (Weekly - .csv import) 0920-1317 Hospital Respiratory Data Weekly Reporting Form
57.101 Hospital Respiratory Data Form (Weekly - API) 0920-1317 Hospital Respiratory Data Weekly Reporting Form
57.101 Hospital Respiratory Data Form (Weekly - User Entry) 0920-1317 Hospital Respiratory Data Weekly Reporting Form
57.102 - Hospital Respiratory Data Fomr (Daily - API) 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.102 - Hospital Respiratory Data Form (Daily - user entry) 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.102 Hospital Respiratory Data Form (Daily - .csv import) 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.140 NHSN and Secure Access Management Services (SAMS) enrollment 0920-1317 NHSN Registration Form
57.155 Point of Care Testing Results - CSV 57.155 Point of Care Testing Results
57.155 Point of Care Testing Results - Manual 57.155 Point of Care Testing Results
57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_CSV 57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_CSV
57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_Manual 57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_Manual
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-Healthcare Personnel Safety Component_CSV 57.221 57.221 Healthcare Personnel COVID-19 Person Level Vaccination-Healthcare Personnel Safety Component_CSV
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-Healthcare Personnel Safety Component_Manual 57.221 57.221 Healthcare Personnel COVID-19 Person Level Vaccination-Healthcare Personnel Safety Component_Manual
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component _Manual 57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_Manual
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV 57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities-.CSV 57.509 57.509 Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients_CSV
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities_Manual 57.509 Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients_Manual
57.510 COVID–19 Module Dialysis Outpatient Facility-CSV 57.510 57.510 COVID–19 Module Dialysis Outpatient Facility-.csv
57.510 COVID–19 Module Dialysis Outpatient Facility_Manual 57.510 COVID–19 Module - Dialysis Outpatient Facility
Healthcare Personnel Safety Monthly Reporting Plan - completed by Dialysis Facilities CDC Form 57.203 Healthcare Personnel Safety Monthly Reporting Plan
Healthcare Personnel Safety Monthly Reporting Plan - completed by Inpatient Psychiatric Facilities CDC Form 57.203 Healthcare Personnel Safety Monthly Reporting Plan
Long Term Care Facility Resident Impact and Facility Capacity Pathway 57.144, CDC 57.144 Resident Impact and Facility Capacity ,   COVID-19 and Respiratory Infections Module Long Term Care Facility Resident Impact and Facility Capacity Pathway Form (57.144) 07SEP2023
Monthly Reporting Plan form for Long-term Care Facilities CDC Form 57.141 Monthly Reporting Plan for LTCF
NHSN COVID-19 Hospital Module (Infusion Centers and Outpatient Clinics reporting Inventory & use of therapeutics (MABs) n/a NHSN COVID-19 Hospital Module Infusion Centers and Outpatient Clinics
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (.csv) 57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual) 57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (.csv) 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (manual) 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents
Staff and Personnel Impact - Business and Financial Operations Occupations CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - Business and Financial Operations Occupations retrospective CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel retrospective CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations retrospective CDC 57.145 Staff and Personnel Impact
VA - Resident COVID-19 Event Form - LTCF 0920-1317 VA COVID-19 Resident Event Form
VA - Staff and Personnel COVID-19 Event Form - LTCF 0920-1317 VA - Staff and Personnel COVID-19 Event Form
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (.csv) 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (manual) 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (.csv) 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (manual) 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,653,433 6,086,324 0 -2,432,891 0 0
Annual Time Burden (Hours) 1,752,540 2,766,084 0 -1,013,544 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Revision of OMB Control No. 0920-1317 is submitted to add 2 new data collection forms and make modifications/revisions to 10 currently approved data collection instruments and remove 13 instruments that are being retired from the package. There is a net decrease in burden.to 1,752,540 hours.

$49,992,135
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Yes
Odion Clunis 770 488-0045 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/30/2024


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