57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV

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

OMB: 0920-1317

IC ID: 271946

Information Collection (IC) Details

View Information Collection (IC)

57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV 57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV.docx N/A Yes Yes Fillable Fileable

Health Public Health Monitoring

 

73 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 3,796 0 3,796 0 0 0
Annual IC Time Burden (Hours) 2,531 0 2,531 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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