Non-Substantive Change Request Memo [08JAN2025]

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Change Request Memo
National Healthcare Safety Network (NHSN)
Surveillance in Healthcare Facilities
(OMB Control Nos. 0920-1317)
Expiration Date: 1/31/2028





























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: December 11, 2024
The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests approval for non-substantive changes to one currently approved data collection instrument in the National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities (OMB Control No. 0920-1317).  

NHSN was unaware that these revisions would be needed at the time that the revision package for 0920-1317 was submitted.We are requesting a determination of this review by December 30, 2024, as these revisions will go into effect on January 6, 2025.  

These non-substantive changes are minor and do not constitute more than a 10% change to the original OMB package (0920-1317).  The data collection for which approval for changes are being sought include: 
    1. 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities
The changes to the currently approved instrument, including associated burden, are described below.
    1. 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities
A new data element is being added to the form.  The Date Completed data element will be auto populated in the NHSN application to indicate when all required questions on the form were first completed and saved in the NHSN application.

Time Burden: The Average Burden per Response is not changing, but we are updating the Number of Respondents with this revision. 

Change in Time Burden:  Total burden for manual submission increased from 227,500 to 284,332 and for .csv submission decreased from 104,000 to 26,451. 

Burden Estimates – 0920-1317
As a result of proposed changes to the form, the estimated annualized burden is expected to decrease by 20,717 hours, from 1,752,540 to 1,731,823. 
Form Number & 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
57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities (manual)


13,123


52


25/60


284,332
$58.60
$16,661,856
Microbiologist
57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities (.csv)


1,526


52


20/60


26,451

$56.50

$1,494,482

Information Technology
                                                                                                                                                  Total Burden Hours for 0920-1317 - 1,731,823