57.108 Primary Bloodstream Infection (BSI)

[NCEZID] The National Healthcare Safety Network (NHSN)

Documents and Forms

Document Name Document Type
Form 57.108 57.108 Primary Bloodstream Infection (BSI) Form and Instruction
57.108 Primary Bloodstream Infection (BSI) 57.108_PrimaryBSI_November_2022.docx Form and Instruction
57.108 Primary Bloodstream Infection (BSI) 57.108_PrimaryBSI_November_2022.docx Form and Instruction
57.108_PrimaryBSI_November_2022.docx 57.108 BSI with GISAB edits in tracked changes IC Document
57.108_PrimaryBSI_November_2022.docx 57.108 BSI with GISAB edits in tracked changes IC Document

Information Collection (IC) Details

IC Title:	57.108 Primary Bloodstream Infection (BSI)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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	57.108	Primary Bloodstream Infection (BSI)	57.108_PrimaryBSI_November_2022.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: 5,775	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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	28,875	28,875
Annual IC Time Burden (Hours)	18,769	18,769
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
57.108 BSI with GISAB edits in tracked changes	57.108_PrimaryBSI_November_2022.docx	04/24/2023

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