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View ICR - OIRA Conclusion

OMB Control No: 0920-0666	ICR Reference No: 201908-0920-004
Status: Historical Active	Previous ICR Reference No: 201808-0920-011
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0666
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 with change	Conclusion Date: 12/02/2019
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/11/2019
Terms of Clearance: Previous terms continue: Approved consistent with the understanding that CDC will continue to add language to its website and reports that clearly caveats the interpretation of longitudinal trends due to changes in the number and characteristics of participating hospitals, particularly changes driven by Medicare and State-level reporting.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2022	36 Months From Approved	11/30/2021
Responses	5,352,360	0	11,515,655
Time Burden (Hours)	3,113,631	0	5,397,438
Cost Burden (Dollars)	101,009,102	0	191,260,525

Abstract: The National Healthcare Safety Network (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. Since 2005, the (NHSN) provides healthcare facilities, states, regions, and the nation with the data desired to identify healthcare-associated infection (HAI) problem areas, measure the progress of prevention efforts, and ultimately eliminate HAIs in conjunction with driving the achievement of the overall mission of the Department of Health and Human Services (DHHS). Enrollment in NHSN has continuously increased, with over 25,000 enrolled healthcare facilities and 21,700 actively reporting healthcare facilities across the U.S. Of these, there are over 5,000 acute care facilities; 7,800 dialysis facilities; 600 long-term acute care facilities; 1,100 inpatient rehabilitation facilities; 800 inpatient psychiatric facilities; 3,100 long-term care facilities; and 6,000 ambulatory surgery facilities. The proposed revisions included in this ICR are designed to (1) increase the overall attainment of CDC’s NHSN HAI surveillance goals and event reporting coverage for all facility types that are active and reporting data to NHSN; (2) to enhance NHSN surveillance and data quality practices exercised by NHSN users and facilities alike; (3) to introduce the new; Neonatal Component, NHSN Facility Administrator Change Request Form, and Long-term Care Facility Form. (4) To update and revise existing survey questions within NHSN’s components by implementing elements of user feedback that has been further analyzed for NHSN and its partnering organizations, intended to advance NHSN data reporting quality for HAI events, dialysis events, and hemovigilance adverse reaction protocols. Lastly, the proposed revisions will further improve the overall quality of existing data collection forms, which are intended to ensure complete data reporting into CDC’s NHSN by all participating facilities.

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,352,360	11,515,655	-6,163,295
Annual Time Burden (Hours)	3,113,631	5,397,438	-2,283,807
Annual Cost Burden (Dollars)	101,009,102	191,260,525	-90,251,423

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: Forty data collection tools under OMB No. 0920-0666 have been revised in this revision request. Ten forms within the NHSN Patient Safety Component are changing with this ICR. Updates were made to the pathogens and susceptibility section for forms (57.111, 57.112, 57.113, 57.114, 57. 115, and 57.120) due to a program-wide name change for the organism from ‘Enterobacter’ to ‘Klebsiella.’ 2. Eight LTCF forms will be updated, two of which (57.138, 57.140), will include an update that will streamline how the facilities document the “Social Security Number” and “Resident type” variables. Three Dialysis component tools will be updated with this ICR. CDC added and revised multiple questions/options on the surveys to better understand possible risk factors for healthcare-associated infections (HAIs), as well as the patient population they serve for surveillance and prevention purposes.

Annual Cost to Federal Government: $18,045,604

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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