[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities

ICR 202509-0920-004

OMB: 0920-1317

Federal Form Document

Forms and Documents
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Justification for No Material/Nonsubstantive Change
2025-09-30
Justification for No Material/Nonsubstantive Change
2025-03-04
Justification for No Material/Nonsubstantive Change
2025-01-09
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supplementary Document
2024-10-29
Supporting Statement B
2024-10-29
Supporting Statement A
2025-03-04
Justification for No Material/Nonsubstantive Change
2024-08-22
Justification for No Material/Nonsubstantive Change
2024-08-06
Justification for No Material/Nonsubstantive Change
2024-04-26
Justification for No Material/Nonsubstantive Change
2024-03-14
Supplementary Document
2023-09-07
Supplementary Document
2023-09-07
Justification for No Material/Nonsubstantive Change
2023-09-07
Supplementary Document
2023-09-07
Supplementary Document
2023-09-07
Supplementary Document
2023-09-07
Supplementary Document
2023-05-18
Justification for No Material/Nonsubstantive Change
2023-05-18
Supplementary Document
2023-03-06
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
Supplementary Document
2022-11-28
IC Document Collections
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Title
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271955 Unchanged
271950 Unchanged
271935 Unchanged
270333 Modified
270316 Modified
270313 Modified
270312 Modified
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270309 Modified
269868 Unchanged
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269864 Unchanged
269863 Unchanged
266012 Unchanged
249436 Unchanged
249435 Modified
249434 Modified
243719 Unchanged
243698 Unchanged
ICR Details
0920-1317 202509-0920-004
Received in OIRA 202502-0920-015
HHS/CDC 0920-25-0176
[NCEZID] National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities
No material or nonsubstantive change to a currently approved collection   No
Regular 09/30/2025
  Requested Previously Approved
01/31/2028 01/31/2028
3,323,021 3,381,437
1,558,384 1,585,369
0 0

The goal of this information collection is to 1) capture the daily, aggregate impact of COVID-19 on healthcare facilities, and 2) monitor medical capacity to respond at local, state, and national levels. This information will be used to inform the overall real-time COVID-19 response efforts and possible resource allocation, and enable state and local health departments to gain immediate access to the COVID-19 data for healthcare facilities within their jurisdiction. This Change Request is submitted for 0920-01317 to update forms, following revised ACIP vaccine recommendations for COVID-19. There is a net decrease in burden hours associated with this Change Request.

US Code: 42 USC 242b, k, m Name of Law: U.S. Public Health Service Act (PHSA)
  
None

Not associated with rulemaking

  89 FR 47962 06/04/2024
89 FR 84146 10/21/2024
Yes

21
IC Title Form No. Form Name
57.101 Hospital Respiratory Data Form (Weekly - .csv import) 0920-1317 Hospital Respiratory Data Weekly Reporting Form
57.101 Hospital Respiratory Data Form (Weekly - API) 0920-1317 Hospital Respiratory Data Weekly Reporting Form
57.101 Hospital Respiratory Data Form (Weekly - User Entry) 0920-1317 Hospital Respiratory Data Weekly Reporting Form
57.102 - Hospital Respiratory Data Fomr (Daily - API) 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.102 - Hospital Respiratory Data Form (Daily - user entry) 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.102 Hospital Respiratory Data Form (Daily - .csv import) 57.102 Hospital Respiratory Data Daily Reporting Form 14AUG2024
57.140 NHSN and Secure Access Management Services (SAMS) enrollment 0920-1317 NHSN Registration Form
57.155 Point of Care Testing Results - CSV 57.155 Point of Care Testing Results
57.155 Point of Care Testing Results - Manual 57.155 Point of Care Testing Results
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities-.CSV 57.509 57.509 Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients_CSV
57.509 Weekly Patient COVID-19 Vaccination Cumulative Summary for Dialysis Facilities_Manual 57.509 Weekly COVID-19 Vaccination Cumulative Summary for Dialysis Patients_Manual
57.510 COVID–19 Module Dialysis Outpatient Facility-CSV 57.510 57.510 COVID–19 Module Dialysis Outpatient Facility-.csv
57.510 COVID–19 Module Dialysis Outpatient Facility_Manual 57.510 COVID–19 Module - Dialysis Outpatient Facility
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (.csv) 57.217, 57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel ,   Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel 29SEP2025
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel (manual) 57.217, 57.217 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel ,   Optional Person Level Reporting of Weekly COVID-19 Vaccination for Healthcare Personnel_29SEP2025
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (.csv) 57.216, 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents ,   Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents Form 57.216_rev 29SEP2025
Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents (manual) 57.216, 57.216 Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents ,   Optional Person Level Reporting of Weekly COVID-19 Vaccination for Long-Term Care Residents Form 57.216_rev 29SEP2025
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (.csv) 57.219, 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary ,   57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary_25SEP2025
Weekly Healthcare Personnel COVID-19 Vaccination Cumulative Summary (manual) 57.219, 57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary ,   57.219 Healthcare Personnel COVID-19 Vaccination Cumulative Summary
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (.csv) 57.218, 57.218, 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities ,   Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF (.csv) ,   57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF_25SEP2025
Weekly Resident COVID-19 Vaccination Cumulative Summary for Long-Term Care Facilities (manual) 57.218, Form 57.218, 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities (manual) ,   Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF (manual) ,   57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of LTCF_25SEP2025

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,323,021 3,381,437 0 -58,416 0 0
Annual Time Burden (Hours) 1,558,384 1,585,369 0 -26,985 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
Change Request for 0920-1317 includes modifications to four (4) forms. There is a net decrease in overall burden.

$49,992,135
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Yes
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/30/2025


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