Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
57.101 Hospital Respiratory Data Form (Weekly - .csv import) Unchanged 179088 86559 0 Form and Instruction 0920-1317
57.101 Hospital Respiratory Data Form (Weekly - API) Unchanged 92872 23218 0 Form and Instruction 0920-1317
57.101 Hospital Respiratory Data Form (Weekly - User Entry) Unchanged 59696 200977 0 Form and Instruction 0920-1317
57.102 - Hospital Respiratory Data Fomr (Daily - API) Unchanged 279225 69806 0 Form and Instruction 57.102
57.102 - Hospital Respiratory Data Form (Daily - user entry) Unchanged 179580 173594 0 Form and Instruction 57.102
57.102 Hospital Respiratory Data Form (Daily - .csv import) Unchanged 538740 260391 0 Form and Instruction 57.102
57.140 NHSN and Secure Access Management Services (SAMS) enrollment Unchanged 11500 958 0 Form and Instruction 0920-1317
57.155 Point of Care Testing Results - CSV Unchanged 470250 94050 0 Form and Instruction 57.155
57.155 Point of Care Testing Results - Manual Unchanged 470250 94050 0 Form and Instruction 57.155
57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_CSV Unchanged 83200 55467 0 Form and Instruction 57.220
57.220 Weekly Person Level Respiratory Pathogen and Vaccination for Residents-LTCF Component_Manual Unchanged 83200 83200 0 Form and Instruction 57.220
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-Healthcare Personnel Safety Component_CSV Unchanged 876 584 0 Form and Instruction 57.221
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-Healthcare Personnel Safety Component_Manual Unchanged 876 876 0 Form and Instruction 57.221
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component _Manual Unchanged 3796 3796 0 Form and Instruction 57.221
57.221 Healthcare Personnel COVID-19 Person Level Vaccination-LTC Component_CSV Unchanged 3796 2531 0 Form and Instruction 57.221
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities-.CSV Unchanged 33624 22416 0 Form and Instruction 57.509
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities_Manual Unchanged 1284 963 0 Form and Instruction 57.509
57.510 COVID–19 Module Dialysis Outpatient Facility-CSV Unchanged 6000 1000 0 Form and Instruction 57.510
57.510 COVID–19 Module Dialysis Outpatient Facility_Manual Unchanged 6000 2000 0 Form and Instruction 57.510
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (.csv) Unchanged 5512 5696 0 Form and Instruction 57.217
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual) Unchanged 4992 5158 0 Form and Instruction 57.217
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (.csv) Unchanged 8684 8973 0 Form and Instruction 57.216
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (manual) Unchanged 86788 89681 0 Form and Instruction 57.216
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (.csv) Unchanged 49284 32856 0 Form and Instruction 57.219
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (manual) Unchanged 136320 102240 0 Form and Instruction 57.219
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (.csv) Modified 79352 26451 0 Form and Instruction 57.218
Form and Instruction 57.218
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (manual) Modified 682396 284332 0 Form and Instruction Form 57.218
Form and Instruction 57.218
Total burden requested under this ICR: 3557181 1731823 0  
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