Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Dialysis Component New 509600 169867 0 Form and Instruction 0920-20LW
NHSN and Secure Access Management Services (SAMS) enrollment New 11500 11500 0 Form and Instruction 0920-20LW
Resident Impact and Facility Capacity - Business and Financial Operations Occupations New 97240 64827 0 Form and Instruction CDC 57.144
Resident Impact and Facility Capacity - Business and Financial Operations Occupations retrospective New 935 623 0 Form and Instruction CDC 57.144
Resident Impact and Facility Capacity - LTCF Personnel New 604292 402861 0 Form and Instruction CDC 57.144
Resident Impact and Facility Capacity - LTCF Personnel retrospective New 5811 3874 0 Form and Instruction CDC 57.144
Resident Impact and Facility Capacity - State and Local Health Dept Occupations New 97240 64827 0 Form and Instruction CDC 57.144
Resident Impact and Facility Capacity - State and Local Health Dept Occupations retrospective New 935 623 0 Form and Instruction CDC 57.144
Staff and Personnel Impact - Business and Financial Operations Occupations New 97240 24310 0 Form and Instruction CDC 57.145
Staff and Personnel Impact - Business and Financial Operations Occupations retrospective New 935 234 0 Form and Instruction CDC 57.145
Staff and Personnel Impact - LTCF Personnel New 604292 151073 0 Form and Instruction CDC 57.145
Staff and Personnel Impact - LTCF Personnel retrospective New 5811 1453 0 Form and Instruction CDC 57.145
Staff and Personnel Impact - State and Local Health Dept Occupations New 97240 24310 0 Form and Instruction CDC 57.145
Staff and Personnel Impact - State and Local Health Dept Occupations retrospective New 935 234 0 Form and Instruction CDC 57.145
Supplies & Personal Protective Equipment - Business and Financial Operations Occupations New 97240 24310 0 Form and Instruction CDC 57.146
Supplies & Personal Protective Equipment - LTCF Personnel New 604292 151073 0 Form and Instruction CDC 57.146
Supplies & Personal Protective Equipment - State and Local Health Dept Occupations New 97240 24310 0 Form and Instruction CDC 57.146
Ventilator Capacity & Supplies - Business and Financial Operations Occupations New 97240 8103 0 Form and Instruction CDC 57.147
Ventilator Capacity & Supplies - LCTF Personnel New 604292 50358 0 Form and Instruction CDC 57.147
Ventilator Capacity & Supplies - State and Local Health Dept Occupations New 97240 8103 0 Form and Instruction CDC 57.147
Total burden requested under this ICR: 3731550 1186873 0  
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