57.118 Denominators for Intensive Care Unit (ICU) Other Locations (Not NICU or SCA)

[NCEZID] The National Healthcare Safety Network (NHSN)

Documents and Forms

Document Name Document Type
Form CDC 57.118 57.118 Denominators for Intensive Care Unit (ICU) Other Locations (Not NICU or SCA) Form
CDC 57.118 Denominators for Intensive Care Unit (ICU)/Other locatio 57.118_DenominatorICU_BLANK.DOCX Form
CDC 57.118 Denominators for Intensive Care Unit (ICU)/Other locatio 57.118_DenominatorICU_BLANK.DOCX Form

Information Collection (IC) Details

IC Title:	57.118 Denominators for Intensive Care Unit (ICU) Other Locations (Not NICU or SCA)	Agency IC Tracking Number:	0920-0666

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	CDC 57.118	Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA)	57.118_DenominatorICU_BLANK.DOCX		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	330,000	330,000
Annual IC Time Burden (Hours)	27,500	27,500
Annual IC Cost Burden (Dollars)	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.