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 Dialysis Component
NHSN and Secure Access Management Services (SAMS) enrollment New 11500 11500 0 Form and Instruction 0920-20LW NHSN Registration Form
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
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
Resident Impact and Facility Capacity - LTCF Personnel New 604292 402861 0 Form and Instruction CDC 57.144 Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - LTCF Personnel retrospective New 5811 3874 0 Form and Instruction CDC 57.144 Resident Impact and Facility Capacity
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
Resident Impact and Facility Capacity - State and Local Health Dept Occupations retrospective New 935 623 0 Form and Instruction CDC 57.144 Resident Impact and Facility Capacity
Staff and Personnel Impact - Business and Financial Operations Occupations New 97240 24310 0 Form and Instruction CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - Business and Financial Operations Occupations retrospective New 935 234 0 Form and Instruction CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel New 604292 151073 0 Form and Instruction CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel retrospective New 5811 1453 0 Form and Instruction CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations New 97240 24310 0 Form and Instruction CDC 57.145 Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations retrospective New 935 234 0 Form and Instruction CDC 57.145 Staff and Personnel Impact
Supplies & Personal Protective Equipment - Business and Financial Operations Occupations New 97240 24310 0 Form and Instruction CDC 57.146 Supplies & Personal Protective Equipment
Supplies & Personal Protective Equipment - LTCF Personnel New 604292 151073 0 Form and Instruction CDC 57.146 Supplies & Personal Protective Equipment
Supplies & Personal Protective Equipment - State and Local Health Dept Occupations New 97240 24310 0 Form and Instruction CDC 57.146 Supplies & Personal Protective Equipment
Ventilator Capacity & Supplies - Business and Financial Operations Occupations New 97240 8103 0 Form and Instruction CDC 57.147 Ventilator Capacity & Supplies
Ventilator Capacity & Supplies - LCTF Personnel New 604292 50358 0 Form and Instruction CDC 57.147 Ventilator Capacity & Supplies
Ventilator Capacity & Supplies - State and Local Health Dept Occupations New 97240 8103 0 Form and Instruction CDC 57.147 Ventilator Capacity & Supplies
Total burden requested under this ICR: 3731550 1186873 0  
To view an IC, click on IC Title