Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CUSP Device Rounds New 900 1350 0 Form and Instruction 3 CLABSI Monthly Device Rounds Checklist
Form and Instruction 3 CAUTI Monthly Device Rounds Checklist
Form and Instruction 3 VAP VAE Monthly Device Rounds Checklist
Clinical Outcomes Data New 92 115 0 Form 5 Clinical Outcomes Data Template
Instruction
Gap Analysis New 400 400 0 Form and Instruction 4 CLABSI Gap Analysis
Form and Instruction 4 CAUTI Gap Analysis
Form and Instruction 4 VAP VAE Gap Analysis
HSOPS New 2400 600 0 Form and Instruction 2 HSOPS
Semi-Structured Interview Guide New 8 4 0 Form and Instruction 1 Semi-Structured Interview Guide
Total burden requested under this ICR: 3800 2469 0  
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