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View ICR - Agency Submission
COMMENT
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OMB Control No:
0920-0666
ICR Reference No:
202603-0920-006
Status:
Received in OIRA
Previous ICR Reference No:
202506-0920-018
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-0666
Title:
[NCEZID] 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
Date Submitted to OIRA:
03/13/2026
Requested
Previously Approved
Expiration Date
36 Months From Approved
03/31/2029
Responses
6,302,285
5,896,801
Time Burden (Hours)
3,848,567
4,509,135
Cost Burden (Dollars)
0
0
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. Specifically, the data is 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. The data will be used to detect changes in the epidemiology of adverse events resulting from new and current medical therapies and changing risks. This Revision contains form addition/deletion and edits and burden changes.
Authorizing Statute(s):
US Code:
42 USC 242k
Name of Law: Public Health Service Act
US Code:
42 USC 242b
Name of Law: Public Health Service Act
US Code:
42 USC 242m(d)
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:
90 FR 33952
07/18/2025
30-day Notice:
Federal Register Citation:
Citation Date:
91 FR 2355
01/20/2026
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
81
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
57.103
Patient Safety Component-Annual Hospital Survey
57.104 NHSN Administrator Change Request Form
none
Facility Administrator Change Request
57.105 Group Contact Information
CDC 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 (BSI)
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 (VAE)
57.113 Pediatric Ventilator-Associated Event (PedVAE)
57.113
Pediatric Ventilator-Associated Event (PedVAE)
57.114 Urinary Tract Infection (UTI)
57.114
Urinary Tract infection (UTI)
57.115 Custom Event
CDC 57.115
Custom Event
57.116 Denominators for Neonatal Intensive Care Unit (NICU)
CDC 57.116
PedVAE Optional Denominators 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
57.121 Denominators for Procedure
57.121
Denominator for Procedure
57.122 HAI Progress Report State Health Department Survey
CDC 55.122
State Health Department HAI Mandate and Validatyion Survey
57.123 Antimicrobial Use and Resistance (AUR) - Microbiology Data Upload Tables
57.123
Antimicrobial Use and Resistance (AUR): Microbiology Laboratory Data Monthly Electronic Upload Specification Tables
57.124 Antimicrobial Use and Resistence (AUR) - Pharmacy Data
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
57.128
Laboratory-identified MDRO or CDI Event
57.129_Adult Sepsis
57.129
Adult Sepsis_
57.130 Pathogens of High Consequence
57.130
Pathogens of High Consequence
57.132 - Patient Safety Component FHIR Measures-HOB, HT-CDI Modules-IT Initial Set up
57.132 - Patient Safety Component FHIR Measures-HOB, HT-CDI Modules-IT Yearly Maintenance
57.132 - Patient Safety Component FHIR Measures-HOB, HT-CDI Modules-Infection Preventionist
57.132
Reporting Plan HOB and HTCDI
57.132 - Patient Safety Digital Reporting Plan (RPS CSV)
57.132
Patient Safety Digital Reporting Plan (RPS CSV)
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 Prevention Process Measures Monthly for LTCF
CDC 57.139
MDRO and CDI LabID Event Reporting Monthly Summary Data for LTCF
57.140 Urinary Tract Infection (UTI) for LTCF
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
57.145 - Long Term Care Antimicrobial Use (LTC-AU) Module CDA
57.145
LTC-AU Module
57.150 Patient Safety Component -- Annual Facility Survey for LTAC
57.150
Urinary Tract Infection (UTI) for LTCF
57.151 Patient Safety Component -- Annual Facility Survey for IRF
57.151
Patient Safety Component—Annual Facility Survey for IRF
57.300 Hemovigilance Module Annual Survey -- Acute Care Facility
CDC 57.300
Hemovigilance Module - Annual Survey
57.301 Hemovigilance Module Monthly Reporting Plan
57.301
Hemovigilance Module Monthly Reporting Plan
57.303 Hemovigilance Module Monthly Reporting Denominators
CDC 57.303
Hemovigilance Module Monthly Reporting Denominators
57.305 Hemovigilance Incident
CDC 57.305
Hemovigilance Module Incident
57.306 Hemovigilance Module Annual Facility Survey - Non-acute Care Facility
57.306
Hemovigilance Module Annual Survey - Non-acute Care Facility
57.307 Hemovigilance Adverse Reaction - Acute Hemolytic Transfusion Reaction
57.307
Hemovigilance Adverse Reaction - Acute Hemolytic Transfusion Reaction
57.308 Hemovigilance Adverse Reaction - Allergic Transfusion Reaction
57.308
Hemovigilance Adverse Reaction - Allergic Transfusion Reaction
57.309 Hemovigilance Adverse Reaction - Delayed Hemolytic Transfusion Reaction
CDC 57.309
Hemovigilance Adverse Reaction - Delayed Hemolytic Transfusion Reaction
57.310 Hemovigilance Adverse Reaction - Delayed Serologic Transfusion Reaction
57.310
Hemovigilance Adverse Reaction - Delayed Serologic Transfusion Reaction
57.311 Hemovigilance Adverse Reaction - Febrile Non-hemolytic Transfusion Reaction
CDC 57.311
Hemovigilance Adverse Reaction - Febrile Non-hemolytic Transfusion Reaction
57.312 Hemovigilance Adverse Reaction - Hypotensive Transfusion Reaction
57.312
Hemovigilance Adverse Reaction - Hypotensive Transfusion Reaction
57.313 Hemovigilance Adverse Reaction - Infection
57.313
Hemovigilance Adverse Reaction - Infection
57.314 Hemovigilance Adverse Reaction - Post Transfusion Purpura
57.314
Hwemovilgilance Adverse Reaction - Post Transfusion Purpura
57.315 Hemovigilance Adverse Reaction - Transfusion Associated Dyspnea
CDC 57.315
Hemovigilance Adverse Reaction - Transfusion Associated Dyspnea
57.316 Hemovigilance Adverse Reaction - Transfusion Associated Graft vs. Host Disease
CDC 57.316
Hemovigilance Adverse Reaction - Transfusin Associated Graft vs. Host Disease
57.317 Hemovigilance Adverse Reaction - Transfusion Associated Acute Lung Injury
57.317
Hemovigilance Adverse Reaction - Transfusion Related Acute Lung Injury
57.318 Hemovigilance Adverse Reaction - Transfusion Associated Circulatory Overload
CDC 57.318
Hemovigilance Adverse Reaction - Transfusion Associated Circulatory Overload
57.319 Hemovigilance Adverse Reaction - Unknown Transfusion Reaction
CDC 57.319
Hemovigilance Adverse Reaction - Unknown Transfusion Reaction
57.320 Hemovigilance Adverse Reaction - Other Transfusion Reaction
57.320
Hemovigilance Adverse Reaction - Other Transfusion Reaction
57.400 Outpatient Procedure - Annual Facility Survey
CDC 57.400
Outpatient Procedure Component - Annual Facility Survey
57.401 Outpatient Procedure - Monthly Reporting Plan
CDC 57.401
Outpatient Procedure Component - Monthly Reporting Plan
57.402 Outpatient Procedure Component Event
CDC 57.402
Outpatient Procedure - Component Event
57.403 Outpatient Procedure Component - Monthly Denominators and Summary
CDC 57.403
Outpatient Procedure - Monthly Denominators and Summary
57.404 Outpatient Procedure Component - SSI Denominators
57.404
Outpatient Procedure Component - SSI Denominators
57.405 Outpatient Procedure Component - Surgical Site Infection (SSI) Event
CDC 57.405
Outpatient Procedure Component - SSI Denominators
57.500 Outpatient Dialysis Center Practices Survey
57.500
Home 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
Demominators for Dialysis Event Surveillance
57.504 Prevention Process Measures Monthly Monitoring for Dialysis
CDC 57.504
Prevention Process Measures Monthly Monitoring for Dialysis
57.507 Home Dialysis Center Practices Survey
57.507
Home Dialysis Center Practices Survey
57.600 - Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-IT Initial Set up
57.600
Reporting Plan LOSMEN Initial Set-up
57.600 - Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-IT Yearly Maintenance
57.600
Reporting Plan LOSMEN Yearly Maintenance
57.600 - Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-Infection Preventionist
57.600
Reporting Plan LOSMEN
57.600 - Neonatal Component Late Onset Sepsis Meningitis (LOSMEN) Module CDA Data Collection-Infection Preventionist
57.600
Reporting Plan LOSMEN
57.700 - Medication Safety Component FHIR Measure-Glycemic Control Module Hypoglycemia-IT Initial Set up
57.700
Medication Safety-Digital Measure Reporting Plan (HYPO, HAKI, ORAE) -IT Initial Set up
57.700 - Medication Safety Component FHIR Measure-Glycemic Control Module Hypoglycemia-IT Yearly Maintenance
57.700
Medication Safety-Digital Measure Reporting Plan (HYPO, HAKI, ORAE) -IT Yearly Maintenance
57.700 - Medication Safety Component FHIR Measure-Glycemic Control Module Hypoglycemia-Infection Preventionist
57.700
Reporting Plan Glycemic Control Module Hypoglycemia
57.701 - Glycemic Control Module-HYPO Annual Survey
57.701
Glycemic Control Module-HYPO Annual Survey
AUR Microbiolgy Data Electronic Upload Specification Tables (Yearly Maintenance)
57.123
Yearly Maintenance (form not used)
AUR Microbiology Data Electronic Upload Specification Tables (Initial Set-up)
57.123
Initial Set-up (form not used)
AUR Pharmacy Data Electronic Upload Specification Tables (Initial Set-up)
57.124
Initial Set-up (form not used)
AUR Pharmacy Data Electronic Upload Specification Tables (Yearly Maintenance)
57.124
Yearly Maintenance (form not used)
All Hazards
57.803
All Hazards
Annual Healthcare Personnel Influenza Vaccination Summary (CSV)
57.214
CSV Submission
Annual Healthcare Personnel Influenza Vaccination Summary (manual)
CDC 57.214
Annual Healthcare Personnel Influenza Vaccination Summary
Bed Capacity-IT Initial Set Up
57.802
Bed Capacity-IT Initial Set Up
Billing Code Data: 837I Upload
57.800
Billing Code Data
Claims Data - Initial IT Set-Up
External Validation Summary Report
57.801
External Validation Summary Report
Hemovigilance Module Monthly Incident Summary
CDC 57.302
Hemovigilance Module Monthly Incident Summary
Late Onset Sepsis / Meningitis Event Form: Data Table for Monthly Electronic Upload
57.602
LOS / MEF: Data Table for Monthly Electronic Upload
Late Onset Sepsis/Meningitis Denominator Form: Data Table (Monthly)
57.601
Late Onset Sepsis/ Meningitis Denominator Form: Data Table for monthly electronic upload
Monthly Survey Patient Days & Nurse Staffing
57.408
Monthly Survey Patient Days & Nurse Staffing
NHSN FHIR Digital Quality Measures (dQMs)
57.900
NHSN FHIR digital Quality Measures (dQMs)
NHSN Help Desk Customer Satisfaction Survey
57.102
NHSN Help Desk Customer Satisfaction Survey
NHSNCoLab Pilot Site Demographics
57.901
NHSNCoLab Pilot Site Demographics
NHSNCoLab Pilot Site Technical Assessment
57.902
NHSNCoLab Pilot Site Technical Assessment
Patient Safety Attestation
57.133
Patient Safety Attestation
Patient Safety Component Digistal Measure Reporting Plan (RPS ONLY Daily FHIR Submission) - Yearly Maintenance
Patient Safety Component Digistal Measure Reporting Plan (RPS ONLY Daily FHIR Submission) -IT Intial Set Up
Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel
57.215
Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel
Weekly Healthcare Personnel Influenza Vaccination Cumulative Summary for Non-Long-Term Care Facilities
CDC 57.211
Weekly HCP Influenza Vaccination Cumulative Summary Non-Long-Term Care Facilities
Weekly Healthcare Personnel Influenza Vaccination Cumulative Summary for Non-Long-Term Care Facilities (CSV)
57.211
CSV Submission
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
6,302,285
5,896,801
0
405,484
0
0
Annual Time Burden (Hours)
3,848,567
4,509,135
0
-660,568
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:
Burden changes are due to burden adjustment and form addition/deletion.
Annual Cost to Federal Government:
$57,681,725
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?
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:
03/13/2026
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