View Information Collection Request (ICR) Package
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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:
0920-1317
ICR Reference No:
202305-0920-005
Status:
Historical Active
Previous ICR Reference No:
202211-0920-014
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1317-23FA
Title:
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
06/09/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/18/2023
Terms of Clearance:
Previous Terms of Clearance continue: CDC will work with its OIRA desk officer should changes be necessary. CDC will detail in all publications and use of the data any limitations based upon changes in respondent characteristics.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2026
03/31/2026
03/31/2026
Responses
6,867,726
0
7,666,498
Time Burden (Hours)
6,523,629
0
7,438,335
Cost Burden (Dollars)
0
0
0
Abstract:
The goal of this information collection is to 1) capture the daily, aggregate impact of COVID-19 on healthcare facilities, and 2) monitor medical capacity to respond at local, state, and national levels. This information will be used to inform the overall real-time COVID-19 response efforts and possible resource allocation, and enable state and local health departments to gain immediate access to the COVID-19 data for healthcare facilities within their jurisdiction. This change request revises/condenses COVID-19 Surveillance Pathways to remove data elements that are no longer required for reporting federal pandemic response activities (PHE ending).
Authorizing Statute(s):
US Code:
42 USC 242b, k, m
Name of Law: The 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:
87 FR 55815
09/12/2022
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 73309
11/29/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
22
IC Title
Form No.
Form Name
Dialysis Component
n/a
COVID–19 Module - Dialysis Outpatient Facility
Healthcare Personnel Safety Monthly Reporting Plan - completed by Dialysis Facilities
CDC Form 57.203
Healthcare Personnel Safety Monthly Reporting Plan
Healthcare Personnel Safety Monthly Reporting Plan - completed by Inpatient Psychiatric Facilities
CDC Form 57.203
Healthcare Personnel Safety Monthly Reporting Plan
Monthly Reporting Plan form for Long-term Care Facilities
CDC Form 57.141
Monthly Reporting Plan for LTCF
NHSN COVID-19 Hospital Module (Hospitals)
n/a
NHSN COVID-19 Hospital Module
NHSN COVID-19 Hospital Module (Infusion Centers and Outpatient Clinics reporting Inventory & use of therapeutics (MABs)
n/a
NHSN COVID-19 Hospital Module Infusion Centers and Outpatient Clinics
NHSN and Secure Access Management Services (SAMS) enrollment
0920-1317
NHSN Registration Form
Resident Impact and Facility Capacity - Business and Financial Operations Occupations retrospective
CDC 57.144
Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - LTCF Personnel retrospective
CDC 57.144
Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - LTCF Personnel, Business and Financial operations and State and Local Health Dept. Occupations
CDC 57.144
Resident Impact and Facility Capacity
Resident Impact and Facility Capacity - State and Local Health Dept Occupations retrospective
CDC 57.144
Resident Impact and Facility Capacity
Resident Therapeutics - Business and Financial Operations Occupations
0920-1317 CDC 57.XXX
Long Term Care Facility: Resident Therapeutics
Resident Therapeutics - LTCF Personnel
0920-1317 CDC 57.XXX
Long-Term Care Facility: Resident Therapeutics
Resident Therapeutics - State and Local Health Dept. Occupations
0920-1317 CDC 57.XXX
Long Term Care Facility: Resident Therapeutics
Staff and Personnel Impact - Business and Financial Operations Occupations
CDC 57.145
Staff and Personnel Impact
Staff and Personnel Impact - Business and Financial Operations Occupations retrospective
CDC 57.145
Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel
CDC 57.145
Staff and Personnel Impact
Staff and Personnel Impact - LTCF Personnel retrospective
CDC 57.145
Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations
CDC 57.145
Staff and Personnel Impact
Staff and Personnel Impact - State and Local Health Dept Occupations retrospective
CDC 57.145
Staff and Personnel Impact
VA - Resident COVID-19 Event Form - LTCF
0920-1317
VA COVID-19 Resident Event Form
VA - Staff and Personnel COVID-19 Event Form - LTCF
0920-1317
VA - Staff and Personnel COVID-19 Event Form
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary
CDC Form 57.219
Healthcare Personnel COVID-19 Vaccination Cumulative Summary
Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities
0920-1317 / CDC Form 57.509
Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities
0920-1317 / CDC Form 57.218
Weekly COVID-19 Vaccination Cumulative Summary for Residents of Long-Term Care Facilities
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
6,867,726
7,666,498
0
-798,772
0
0
Annual Time Burden (Hours)
6,523,629
7,438,335
0
-914,706
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
The COVID-19 Surveillance Pathways will be revised/condensed to remove data elements that are no longer required for reporting federal pandemic response activities (PHE ending).
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
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.
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?
Yes
Agency Contact:
Kevin Joyce 404 639-1944 kdj7@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:
05/18/2023
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