57.150 Patient Safety Component -- Annual Facility Survey for LTAC

[NCEZID] The National Healthcare Safety Network (NHSN)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Document Name Document Type
Form 57.150 57.150 Patient Safety Component -- Annual Facility Survey for LTAC Form and Instruction
57.150 Urinary Tract Infection (UTI) for LTCF 57.150 LTAC Annual Facility Survey - Clean Version.docx Form and Instruction
57.150 Urinary Tract Infection (UTI) for LTCF 57.150 LTAC Annual Facility Survey - Clean Version.docx Form and Instruction

Information Collection (IC) Details

IC Title:	57.150 Patient Safety Component -- Annual Facility Survey for LTAC	Agency IC Tracking Number:	0920-0666

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	57.150	Urinary Tract Infection (UTI) for LTCF	57.150 LTAC Annual Facility Survey - Clean Version.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 392	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	392	-228	620
Annual IC Time Burden (Hours)	581	-266	847
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.