NonSubstantive Change Request Justification

Change Memo for CDC NHSN COVID-19 OMB Package 0920-1317.docx

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

NonSubstantive Change Request Justification

OMB: 0920-1317

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Change Memo for

National Healthcare Safety Network (NHSN)

Surveillance in Healthcare Facilities

(OMB Control Nos. 0920-1317)

Expiration Date: 03/31/2026






























Program Contact


Paula Farrell

Surveillance Branch

Division of Healthcare Quality Promotion

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

Atlanta, Georgia 30333

Phone: 404-498-4019 

Email: [email protected]


Submission Date: March 11, 2024

The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests approval of a new data collection instrument in the National Healthcare Safety Network (NHSN) OMB Package (OMB Control No. 0920-1317).


  1. Point of Care Testing Results (57.155)


The changes to the forms and associated burden are described below. The changes are minor and do not constitute more than a 10% change to the original OMB package. The NHSN COVID-19 Modules are designed to standardize the data elements collected across the country regarding the impact of COVID-19 on healthcare facilities. Current efforts at data collection are individualized at each state and local region. In collecting standardized data, NHSN provides a vendor-neutral platform and a national lens into the burden facilities are experiencing in a way that is designed to support the public health response. NHSN is a platform that exists in nearly all acute-care hospitals, nursing homes, and dialysis facilities in the US and can provide a secure, sturdy infrastructure.

Point of Care Testing Results (57.155)


The Point of Care Testing Results (57.155) form was inadvertently overlooked and was not included in the NHSN COVID-19 Package 0920-1317. The data collection form is being submitted for approval. This form provides national surveillance for the tracking of SARS-CoV-2 test results in long-term care facilities (LTCFs).


Justification: The Point-of-Care (POC) Test Results form is a separate reporting option for LTCFs to report SARS-CoV-2 test results provided by a POC device. A POC device allows for COVID testing at the bedside and provides quick test results, without the need to submit a specimen to a laboratory. NHSN routes reported POC laboratory test result data to the public health agency at the local or state level with jurisdictional authority and responsibility for receiving those data.


Time Burden: estimate 10 minutes to complete the form.


Burden Estimates – 0920-1317

As a result of proposed changes to the forms, the estimated annualized burden is expected to increase by 78,375 hours, from 5,614,755 to 5,693,130.


Form Name

No. of Respondents

No. Responses per Respondent

Avg. Burden per response (in hrs.)

Total Burden

(in hrs.)

Hourly Wage Rate

Total Respondent Cost

Type of Respondent

Point of Care Testing Results (57.155)

6,270

75

10/60

78,375



$36.53



$2,863,039

Registered Nurse

Total Burden Hours for 0920-1317 5,693,130


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWattenmaker, Lauren (CDC/DDID/NCEZID/DHQP)
File Modified0000-00-00
File Created2024-10-31

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