Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (.csv)

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

OMB: 0920-1317

IC ID: 270310

Information Collection (IC) Details

View Information Collection (IC)

Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (.csv) 0920-1317
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

167 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 8,684 0 0 0 0 8,684
Annual IC Time Burden (Hours) 8,973 0 289 0 0 8,684
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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