View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[NCEZID] Survey for Soliciting Feedback on NHSN Hemovigilance Module User Experience 0920-25-0161
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1050 Survey of All Facilities Enrolled in NHSN HV Module - Pre-Survey Att A - NHSN HV Module Facility Survey (Pre-Survey Sept 2025).docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-1050 Survey of All Facilities Enrolled in NHSN HV Module - Post-Survey Att B - NSHN HV Module Facility Survey (Post-Survey -Jan 2027).docx N/A Yes Yes Fillable Fileable

Workforce Management Training and Employment

 

720 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 720 0 720 0 0 0
Annual IC Time Burden (Hours) 120 0 120 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NHSN HV Module Survey - Email Solicitation Att C - NHSN HV Module Survey - Email Solicitation.docx 08/26/2025
0920-1071 GenIC Request Template Service Delivery Fast Track Template - BOOTS.docx 08/26/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.