View Information Collection Request (ICR) Package
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View ICR - Agency Submission
OMB Control No:
0920-1317
ICR Reference No:
202509-0920-004
Status:
Received in OIRA
Previous ICR Reference No:
202502-0920-015
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-25-0176
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
Date Submitted to OIRA:
09/30/2025
Requested
Previously Approved
Expiration Date
01/31/2028
01/31/2028
Responses
3,323,021
3,381,437
Time Burden (Hours)
1,558,384
1,585,369
Cost Burden (Dollars)
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 is submitted for 0920-01317 to update forms, following revised ACIP vaccine recommendations for COVID-19. There is a net decrease in burden hours associated with this Change Request.
Authorizing Statute(s):
US Code:
42 USC 242b, k, m
Name of Law: U.S. Public Health Service Act (PHSA)
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:
89 FR 47962
06/04/2024
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 84146
10/21/2024
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
21
IC Title
Form No.
Form Name
57.101 Hospital Respiratory Data Form (Weekly - .csv import)
0920-1317
Hospital Respiratory Data Weekly Reporting Form
57.101 Hospital Respiratory Data Form (Weekly - API)
0920-1317
Hospital Respiratory Data Weekly Reporting Form
57.101 Hospital Respiratory Data Form (Weekly - User Entry)
0920-1317
Hospital Respiratory Data Weekly Reporting Form
57.102 - Hospital Respiratory Data Fomr (Daily - API)
57.102
Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.102 - Hospital Respiratory Data Form (Daily - user entry)
57.102
Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.102 Hospital Respiratory Data Form (Daily - .csv import)
57.102
Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.140 NHSN and Secure Access Management Services (SAMS) enrollment
0920-1317
NHSN Registration Form
57.155 Point of Care Testing Results - CSV
57.155
Point of Care Testing Results
57.155 Point of Care Testing Results - Manual
57.155
Point of Care Testing Results
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities-.CSV
57.509
57.509 Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients_CSV
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities_Manual
57.509
Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients_Manual
57.510 COVID–19 Module Dialysis Outpatient Facility-CSV
57.510
57.510 COVID–19 Module Dialysis Outpatient Facility-.csv
57.510 COVID–19 Module Dialysis Outpatient Facility_Manual
57.510
COVID–19 Module - Dialysis Outpatient Facility
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (.csv)
57.217, 57.217
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel
,
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel 29SEP2025
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual)
57.217, 57.217
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel
,
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel_29SEP2025
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (.csv)
57.216, 57.216
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents
,
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents Form 57.216_rev 29SEP2025
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (manual)
57.216, 57.216
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents
,
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents Form 57.216_rev 29SEP2025
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (.csv)
57.219, 57.219
Healthcare Personnel COVID-19 Vaccination Cumulative Summary
,
57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary_25SEP2025
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (manual)
57.219, 57.219
Healthcare Personnel COVID-19 Vaccination Cumulative Summary
,
57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (.csv)
57.218, 57.218, 57.218
Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities
,
Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF (.csv)
,
57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF_25SEP2025
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (manual)
57.218, Form 57.218, 57.218
Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities (manual)
,
Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF (manual)
,
57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF_25SEP2025
ICR Summary of Burden
Total Request
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
3,323,021
3,381,437
0
-58,416
0
0
Annual Time Burden (Hours)
1,558,384
1,585,369
0
-26,985
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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:
Change Request for 0920-1317 includes modifications to four (4) forms. There is a net decrease in overall burden.
Annual Cost to Federal Government:
$49,992,135
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.
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:
Jeffrey Zirger 404 639-7118 wtj5@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:
09/30/2025
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