Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
The National Healthcare Safety Network New 10000 1667 0 Form Form No. 57.75LL MDRO Prevention Process Monitoring
The National Healthcare Safety Network Modified 45000 7500 0 Form Form No. 57.75FF Healthcare Worker Influenza Vaccination
The National Healthcare Safety Network New 90 15 0 Form Form No. 57.75II Post-Season on Influenza Vaccination Programs for Healthcare Workers
The National Healthcare Safety Network New 4500 750 0 Form Form No. 57.75GG Healthcare Worker Influenza Antiviral Medication Administration
The National Healthcare Safety Network New 90 15 0 Form Form No. 57.75HH Pre-Season Survey on Influenza Vaccination Programs
The National Healthcare Safety Network New 10000 833 0 Form Form No. 57.75JJ Central Line Insertion Practices Adherence Monitoring
Total burden requested under this ICR: 69680 10780 0  
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