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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:
201407-0920-007
Status:
Historical Active
Previous ICR Reference No:
201308-0920-010
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:
12/01/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/23/2014
Terms of Clearance:
The next ICR submission should include an explanation of what data are mandatory (and for whom) and what data are voluntary.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2017
36 Months From Approved
10/31/2016
Responses
8,975,750
0
8,810,700
Time Burden (Hours)
4,277,716
0
4,104,776
Cost Burden (Dollars)
141,057,383
0
138,604,613
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:
79 FR 35166
06/19/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 53199
09/08/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
54
IC Title
Form No.
Form Name
57.100 NHSN Registration Form
CDC 57.100
NHSN Registration Form
57.101 Facility Contact Information
CDC 57.101
Facility Contact Information
57.103 Patient Safety Component - Annual Hospital Survey
CDC 57.103
Patient Safety Component--Annual Hospital Survey
57.105 Group Contact Information
CDC 57.105
Group Contact Information
57.106 Patient Safety Monthly Reporting Plan
CDC 57.106
Patient Safety Monthly Reporting Plan
57.108 Primary Bloodstream Infection (BSI)
CDC 57.108
Primary Bloodstreat Infection (BSI)
57.111 Pneumonia (includes Any Patient Pneumonia flow Diagram and Infant and Children Pneumonia Flow Diagram)
CDC 57.111
Pneumonia (PNEU)
57.112 Ventilator-Associated Event (VAE)
CDC 57.112
Ventilator-Associated Event (VAE)
57.114 Urinary Tract Infection (UTI)
CDC 57.114
Urinary Tract Infection (UTI)
57.116 Denominators for Neonatal Intensive Care Unit (NICU)
CDC 57.116
Denominators for Neonatal intensive Care Unit (NICU)
57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)
CDC 57.117
Denominators for Specialty Care Area (SCA) Oncology (ONC)
57.118 Denominators for Intensive Care Unit (ICU) Other Locations (Not NICU or SCA)
CDC 57.118
Denominators for Intensive Care Unit (ICU)/Other Locations (not NICU or SCA)
57.120 Surgical Site Infection (SSI)
CDC 57.120
Surgical Site Infection (SSI)
57.121 Denominators for Procedure
CDC 57.121
Denominator for Procedure
57.123 Antimicrobial Use and Resistance (AUR) - Microbiology Data Upload Tables
CDC 57.123
Antimicrobial Use and Resistance (AUR): Microbiology Laboratory Data Monthly Electronic Upload Specification Tables
57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data
CDC 57.124
Antimicrobial Use and Resistance (AUR): Pharmacy Data Monthly Electronic Upload Specification Tables
57.125 Central Line Insertion Practices Adherence Monitoring Form
CDC 57.125
Central Line Insertion Practices Adherence Monitoring
57.126 MDRO or CDI Infection Event
CDC 57.126
MDRO or CDI Infection Event
57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring
CDC 57.127
MDRO and CDI Prevention Process and Outcome Measures Monthly Reporting
57.128 Laboratory Identified or CDI MDRO Event
CDC 57.128
Laboratory-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
CDC 57.137
Long Term Care Facility Component---Annual Facility Survey
57.138 Laboratory-Identified MDRO or CDI Event for LTCF
CDC 57.138
Laboratory-identified MDRO or CDI Event for LTCF
57.139 MDRO and CDI Monthly Monitoring for LTCF
CDC 57.139
MDRO and CDI Monthly Monitoring for LTCF
57.140 Urinary Tract Infection (UTI) for LTCF
CDC 57.140
Urinary Tract Infection (UTI) for LTCF
57.141 Monthly Reporting Plan for LTCF
CDC 57.141
Monthly Reporting Plan for LTCF
57.142 Denominators for LTCF Locations
CDC 57.142
Denominators for LTCF
57.143 Prevention Process Measures Monthly Monitoring for LTCF
CDC 57.143
Prevention Process Measures Monthly Monitoring
57.150 Patient Safety Component -- Annual Facility Survey for LTAC
CDC 57.150
Patient Safety Component---Annual Facility Survey for LTAC
57.151 Patient Safety Component -- Annual Facility Survey for IRF
CDC 57.151
Patient Safety Component---Annual Facility Survey for IRF
57.200 Healthcare Personnel Safety Component Facility Survey
CDC 57.200
Healthcare Personnel Safety - Annual Facility Survey
57.203 Healthcare Personnel Safety Reporting Plan
CDC 57.203
Healthcare Personnel Safety Monthly Reporting Plan
57.204 Healthcare Worker Demographic Data
CDC 57.204
Healthcare Worker Demographic Data
57.205 Exposure to Blood and Body Fluids
CDC 57.205
Exposure to Blood/Body Fluids
57.206 Healthcare Worker Prophylaxis/Treatment
CDC 57.206
Healthcare Worker Prophylaxis/Treatment
57.207 Follow-up Laboratory Testing
CDC 57.207
Follow-up Laboratory Testing
57.210 Healthcare Worker Prophylaxis/Treatment - Influenza
CDC 57.210
HCW Prophylaxis/Treatment-Influenza
57.300 Hemovigilance Module Annual Facility Survey
CDC 57.300
Hemovigilance Module Annual Survey
57.301 Hemovigilance Module Monthly Reporting Plan
CDC 57.301
Hemovigilance Module Monthly Reporting Plan
57.303 Hemovigilance Module Monthly Reporting Denominators
CDC 57.303
Hemovigilance Module Monthly Reporting Denominators
57.304 Hemovigilance Module Adverse Reaction
CDC 57.304
Hemovigilance Adverse Reaction
57.305 Hemovigilance Incident
CDC 57.305
Hemovigilance Module Monthly Reporting Denominators
57.400 Outpatient Procedure - Annual Facility Survey
CDC 57.400
Outpatient Procedure---Annual Facility Survey
57.401 Outpatient Procedure - Monthly Reporting Plan
CDC 57.401
Outpatient Procedure Component Monthly Reporting Plan
57.402 Outpatient Procedure - Event
CDC 57.402
Outpatient Procedure - Event
57.403 Outpatient Procedure - Monthly Denominators and Summary
CDC 57.403
Outpatient Procedure - Monthly Denominators and Summary
57.500 Outpatient Dialysis Center Practices Survey
CDC 57.500
Outpatient Dialysis Center Practices Survey
57.501 Dialysis Monthly Reporting Plan
CDC 57.501
NHSN Registration Form
57.502 Dialysis Event
CDC 57.502
Dialysis Event
57.503 Denominators for Outpatient Dialysis
CDC 57.503
Denominators for Dialysis Event Surveillance (Census Form)
57.504 Prevention Process Measures Monthly Monitoring for Dialysis
CDC 57-504
Prevention Process Measures Monthly Monitoring for Dialysis
57.505 Dialysis Patient Influenza Vaccination
CDC 57.505
Dialysis Patient Influenza Vaccination
57.506 Dialysis Patient Influenza Vaccination Denominator
CDC 57.506
Dialysis Patient Influenza Vaccination Denominator
57.600 State Health Department Validation Record
CDC 57.600
State Health Department Validation Record
CDC 57.154 Antimicrobial Use & Resistance Component - Monthly Reporting Plan
CDC 57.154
Antimicrobial Use and Resistance Monthly Reporting Plan
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
8,975,750
8,810,700
0
165,050
0
0
Annual Time Burden (Hours)
4,277,716
4,104,776
0
172,940
0
0
Annual Cost Burden (Dollars)
141,057,383
138,604,613
0
2,452,770
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:
Changing Forms
Short Statement:
This collection is currently approved for 8,810,700 responses and 4,104,776 burden hours. This revision request includes removing three forms, adding one form, and revisions to 31 previously approved forms. The reporting burden will increase by 172,943 hours, for a total estimated burden of 4,277,716 hours; annual cost of reporting would increase by $8,230,580.
Annual Cost to Federal Government:
$10,790,074
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:
Thelma Sims 4046394771
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:
09/23/2014
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