Change request justification 27July2020

Change Memo for

“National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19)

Surveillance in Healthcare Facilities”

(OMB Control No. 0920-1290)

Expiration Date: 09/30/2020

Program Contact

Lauren Wattenmaker

Surveillance Branch

Division of Healthcare Quality Promotion

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

Atlanta, Georgia 30333

Phone: 404-718-5842

Email: nlh3@cdc.gov

Submission Date: July 24, 2020

The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests a nonmaterial/non-substantive of the currently approved Information Collection Request: “National Healthcare Safety Network (NHSN) Patient Impact Module for Coronavirus (COVID-19) Surveillance in Healthcare Facilities (OMB Control No. 0920-1290).”

CDC is updating the COVID-19 Module, Long Term Care Facility (LTCF): Resident Impact and Facility Capacity form (CDC 57.144) to add additional lab questions to the Laboratory Testing section. We estimate these changes will add an additional 15 minutes to the total burden for this form. The purpose of adding these questions to the NHSN LTCF COVID-19 Module is to collect information on two issues:

1. Do LTCFs have enough access to testing for both residents and facility staff, including resources? (e.g., do they appear to have sufficient access to implement CDC testing guidance, or is access to testing a barrier to that?)

2. How is testing being used for both residents and facility staff? (e.g., do LTCFs seem to be utilizing testing in the way we recommend or not? This might also help interpret the number of cases being reported, but this wasn’t/isn’t primary goal)

We are also making additional edits to the form to improve clarity of two questions in the Resident Impact Section. These minor changes will not impact the burden of information collection.

The previous burden calculated for this entire data collection consisted of 1,298,246 hours. As a result of the changes proposed in this change memo, the new burden will consist of 1,393,627 hours.

Type of Respondent	Form Name	No. of Respondents	No. Responses per Respondent	Avg. Burden per response (in hrs.)	Total Burden (in hrs.)
LTCF personnel	COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form	9,782	26	35/60	148,360
Business and financial operations occupations	COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form	2,446	26	35/60	37,098
State and local health department occupations	COVID-19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form	2,446	26	35/60	37,098
Total form burden					222,556