57.132 - Patient Safety Component FHIR Measures-HOB, HT-CDI Modules-Infection Preventionist

[NCEZID] The National Healthcare Safety Network (NHSN)

Documents and Forms

Document Name Document Type
Form 57.132 57.132 - Patient Safety Component FHIR Measures-HOB, HT-CDI Modules-Infection Preventionist Form and Instruction
57.132 Reporting Plan HOB and HTCDI 57.132 Reporting Plan HOB and HTCDI.docx Form and Instruction
57.132 Reporting Plan HOB and HTCDI 57.132 Reporting Plan HOB and HTCDI.docx Form and Instruction

Information Collection (IC) Details

IC Title:	57.132 - Patient Safety Component FHIR Measures-HOB, HT-CDI Modules-Infection Preventionist	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 and Instruction	57.132	Reporting Plan HOB and HTCDI	57.132 Reporting Plan HOB and HTCDI.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

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: 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	33,000	33,000
Annual IC Time Burden (Hours)	3,300	3,300
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.