57.155 Point of Care Testing Results - CSV

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

Documents and Forms

Document Name Document Type
Form 57.155 57.155 Point of Care Testing Results - CSV Form and Instruction
57.155 Point of Care Testing Results 57.155 Point of Care Testing-Clean Version.docx Form and Instruction

Information Collection (IC) Details

IC Title:	57.155 Point of Care Testing Results - CSV	Agency IC Tracking Number:	57.155

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	57.155	Point of Care Testing Results	57.155 Point of Care Testing-Clean Version.docx	N/A	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,135	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	470,250	470,250
Annual IC Time Burden (Hours)	94,050	94,050
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.