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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-0666
ICR Reference No:
201308-0920-010
Status:
Historical Active
Previous ICR Reference No:
201211-0920-005
Agency/Subagency:
HHS/CDC
Agency Tracking No:
20352
Title:
The National Healthcare Safety Network (NHSN)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
10/30/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/28/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2016
36 Months From Approved
12/31/2015
Responses
8,810,700
0
4,905,350
Time Burden (Hours)
4,104,776
0
3,562,653
Cost Burden (Dollars)
138,604,613
0
20,165,365
Abstract:
NHSN is a system designed to accumulate, exchange, and integrate relevant information and resources among private and public stakeholders to support local and national efforts to protect patients and promote healthcare safety. The data are used to determine the magnitude of various healthcare-associated adverse events and trends in the rates of these events among patients and healthcare workers with similar risks,and to detect changes in the epidemiology of adverse events resulting from new and current medical therapies and changing risks. The NHSN has six components: Patient Safety, Healthcare Personnel Safety, Biovigilance,Long-Term Care Facility, Dialysis, and Outpatient Procedure.
Authorizing Statute(s):
US Code:
42 USC 242k
Name of Law: Public Health Service Act
US Code:
42 USC 242m(d)
Name of Law: Public Health Service Act
US Code:
42 USC 242b
Name of Law: Public Health Service Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 37224
06/20/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 52533
08/23/2013
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
56
IC Title
Form No.
Form Name
57.100 NHSN Registration Form
57.100
NHSN Registration
57.101 Facility Contact Information
57.101
Facility Contact Information
57.103 Patient Safety Component - Annual Hospital Survey
57.103
Patient Safety - Annual Hospital Survey
57.105 Group Contact Information
57.105
Group Contact Information
57.106 Patient Safety Monthly Reporting Plan
57.106
Patient Safety Monthly Reporting Plan
57.108 Primary Bloodstream Infection (BSI)
57.108
Primary Bloodstream Infection
57.111 Pneumonia (includes Any Patient Pneumonia flow Diagram and Infant and Children Pneumonia Flow Diagram)
57.111
Pneumonia (PNEU)
57.112 Ventilator-Associated Event (VAE)
57.112
Ventilator-associated Event
57.114 Urinary Tract Infection (UTI)
57.114
Urinary Tract Infection
57.116 Denominators for Neonatal Intensive Care Unit (NICU)
57.116
Denominators for the Neonatal Intensive Care Unit
57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)
57.117
Denominators for Specialty Care Area
57.118 Denominators for Intensive Care Unit (ICU) Other Locations (Not NICU or SCA)
57.118
Denominators for ICU
57.120 Surgical Site Infection (SSI)
57.120
Surgical Site Infection
57.121 Denominators for Procedure
57.121
Denominator for Procedure
57.123 Antimicrobial Use and Resistance (AUR) - Microbiology Data Upload Tables
57.123
Antimicrobial Use and Resistance Micro Upload Tables
57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data
57.124
Antimicrobial Use and Resistance - Pharm Data Upload Tables
57.125 Central Line Insertion Practices Adherence Monitoring Form
57.125
Central Line Insertion Practices Adherence Monitoring
57.126 MDRO or CDI Infection Event
57.126
MDRO or CDI Infection Event
57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring
57.127
MDRO and CDI Prevention Process and Outcome Measures Monitoring
57.128 Laboratory Identified or CDI MDRO Event
57.128
Lab Identified MDRO or CDI Event
57.130 Vaccination Monthly Monitoring Form - Summary Method
57.130
Vaccination Monthly Monitoring - Summary Method
57.131 Vaccination Monthly Monitoring Form - Patient-Level Method
57.131
Vaccination Monthly Monitoring - Patient level
57.133 Patient Vaccination
57.133
Patient Vaccination
57.137 Long Term care Facility Component--Annual Facility Survey
57.137
Long Term Care Facility - Annual Survey
57.138 Laboratory-Identified MDRO or CDI Event for LTCF
57.138
Lab-identified MDRO or CDI Event
57.139 MDRO and CDI Monthly Monitoring for LTCF
57.139
MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF
57.140 Urinary Tract Infection (UTI) for LTCF
57.140
Urinary Tract Infection for LTCF
57.141 Monthly Reporting Plan for LTCF
57.141
Monthly Reporting Plan for LTCF
57.142 Denominators for LTCF Locations
57.142
Denominators for LTCF Locations
57.143 Prevention Process Measures Monthly Monitoring for LTCF
57.143
Prevention Process Measures Monthly Monitoring
57.150 Patient Safety Component -- Annual Facility Survey for LTAC
57.150
LTAC Annual Survey
57.151 Patient Safety Component -- Annual Facility Survey for IRF
57.151
Rehab Annual Survey
57.200 Healthcare Personnel Safety Component Facility Survey
57.200
Healthcare Personnel Safety - Annual Facility Survey
57.203 Healthcare Personnel Safety Reporting Plan
57.203
Healthcare Personnel Safety Monthly Reporting Plan
57.204 Healthcare Worker Demographic Data
57.204
Healthcare Worker Demographic Data
57.205 Exposure to Blood and Body Fluids
57.205
Exposure to Blood/Body Fluids
57.206 Healthcare Worker Prophylaxis/Treatment
57.206
Healthcare Worker Prophylaxis/Treatment
57.207 Follow-up Laboratory Testing
57.207
Follow-up Lab Testing
57.210 Healthcare Worker Prophylaxis/Treatment - Influenza
57.210
HCW Prophylaxis/Treatment-Influenza
57.300 Hemovigilance Module Annual Facility Survey
57.300
Hemovigilance Module Annual Survey
57.301 Hemovigilance Module Monthly Reporting Plan
57.301
Hemovigilance Module Monthly Reporting Plan
57.302 Hemovigilance Module Monthly Incident Summary
57.303 Hemovigilance Module Monthly Reporting Denominators
57.303
Hemovigilance Module Monthly Reporting Denominators
57.304 Hemovigilance Module Adverse Reaction
57.304
Hemovigilance Adverse Reaction
57.305 Hemovigilance Incident
57.305
Hemovigilance Incident
57.400 Outpatient Procedure - Annual Facility Survey
57.400
Outpatient Procedure - Annual Facility Survey
57.401 Outpatient Procedure - Monthly Reporting Plan
57.401
Outpatient Procedure - Monthly Reporting Plan
57.402 Outpatient Procedure - Event
57.402
Outpatient Procedure - Event
57.403 Outpatient Procedure - Monthly Denominators and Summary
57.403
Outpatient Procedure - Monthly Denominators and Summary
57.500 Outpatient Dialysis Center Practices Survey
57.500
Outpatient Dialysis Center Practices Survey
57.501 Dialysis Monthly Reporting Plan
57.501
Dialysis Monthly Reporting Plan
57.502 Dialysis Event
57.502
Dialysis Event
57.503 Denominators for Outpatient Dialysis
57.503
Denominator for Outpatient Dialysis
57.504 Prevention Process Measures Monthly Monitoring for Dialysis
57.504
Prevention Process Measures Monthly Monitoring for Dialysis
57.505 Dialysis Patient Influenza Vaccination
57.505
Dialysis Patient Influenza Vaccination
57.506 Dialysis Patient Influenza Vaccination Denominator
57.506
Dialysis Patient Influenza Vaccination Denominator
57.600 State Health Department Validation Record
57.600
State Health Department Validation Record
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
8,810,700
4,905,350
0
3,905,350
0
0
Annual Time Burden (Hours)
4,104,776
3,562,653
0
542,123
0
0
Annual Cost Burden (Dollars)
138,604,613
20,165,365
0
118,439,248
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
This ICR includes revision of 32 forms, the addition of 9 forms, and the removal of one form. It includes 2 new NHSN components - the Dialysis component changes 3 forms and adds 4 new ones. The Outpatient Procedure component add 4 forms. The breadth of organism susceptability data required on all healthcare-associated infection forms has been reduced. Changes were made to the Biovigilance component forms including removal of the monthly incident form. A new form will collect aggregate validation results by state health departments using the NHSN Validation Guidance and Toolkits.
Annual Cost to Federal Government:
$11,912,686
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Shari Steinberg 404 639-4942 sxw2@cdc.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
08/28/2013
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