Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (.csv)

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

OMB: 0920-1317

IC ID: 270333

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

View Information Collection (IC)

Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (.csv) 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 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary CSV_Clean.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

4,107 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 49,284 0 0 0 0 49,284
Annual IC Time Burden (Hours) 32,856 0 0 0 0 32,856
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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