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In accordance with the Paperwork Reduction Act of 1995, the Centers for Disease Control and Prevention (CDC) has submitted the information collection request titled “National Healthcare Safety Network” to the Office of Management and Budget (OMB) for review and approval. CDC previously published a “Proposed Data Collection Submitted for Public Comment and Recommendations” notice on April 23, 2024 to obtain comments from the public and affected agencies. CDC received two comments related to the previous notice. This notice serves to allow an additional 30 days for public and affected agency comments.
CDC will accept all comments for this proposed information collection project. The Office of Management and Budget is particularly interested in comments that:
(a) Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility;
(b) Evaluate the accuracy of the agencies estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to be collected;
(d) Minimize the burden of the collection of information on those who are to respond, including, through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to obtain a copy of the information collection plan and instruments, call (404) 639-7570. Comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by using the search function. Direct written comments and/or suggestions regarding the items contained in this notice to the Attention: CDC Desk Officer, Office of Management and Budget, 725 17th Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide written comments within 30 days of notice publication.
Proposed Project
National Healthcare Safety Network (NHSN) (OMB Control No. 0920-0666, Exp. 06/30/2026)—Revision—National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
The Division of Healthcare Quality Promotion (DHQP), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC) collects data from healthcare facilities in the National Healthcare Safety Network (NHSN) under OMB Control Number 0920-0666. NHSN provides facilities, health departments, states, regions, and the nation with data necessary to identify problem areas, measure the progress of prevention efforts, and ultimately eliminate healthcare-associated infections (HAIs) nationwide. NHSN also allows healthcare facilities to track blood safety errors and various HAI prevention practice methods such as healthcare personnel influenza vaccine status and corresponding infection control adherence rates.
The proposed changes in this new ICR includes revisions made to 74 approved NHSN data collection tools and 10 new forms, for a total of 84 forms in this package. CDC requests OMB approval for an estimated 4,398,109 annual burden hours. There is no cost to respondents other than their time to participate.
Estimated Annualized Burden Hours
| Form number & name | Number of respondents | Number of responses per respondent | Average burden per response (min./hour 60) | |
|---|---|---|---|---|
| 1 | 57.100 NHSN Registration Form | 2,000 | 1 | 5/60 |
| 2 | 57.101 Facility Contact Information | 2,000 | 1 | 10/60 |
| 3 | 57.102 NHSN Help Desk Customer Satisfaction Survey | 26,400 | 1 | 2/60 |
| 4 | 57.103 Patient Safety Component—Annual Hospital Survey | 5,400 | 1 | 137/60 |
| 5 | 57.104 NHSN Facility Administrator Change Request Form | 800 | 1 | 5/60 |
| 6 | 57.105 Group Contact Information | 1,000 | 1 | 5/60 |
| 7 | 57.106 Patient Safety Monthly Reporting Plan | 7,821 | 12 | 15/60 |
| 8 | 57.108 Primary Bloodstream Infection (BSI) | 6,000 | 12 | 42/60 |
| 9 | 57.111 Pneumonia (PNEU) | 1,800 | 2 | 34/60 |
| 10 | 57.112 Ventilator-Associated Event (VAE) | 5,463 | 8 | 32/60 |
| 11 | 57.113 Pediatric Ventilator-Associated Event (PedVAE) | 334 | 1 | 34/60 |
| 12 | 57.114 Urinary Tract Infection (UTI) | 6,000 | 12 | 24/60 |
| 13 | 57.115 Custom Event | 600 | 91 | 39/60 |
| 14 | 57.116 Denominators for Neonatal Intensive Care Unit (NICU) | 1,100 | 12 | 240/60 |
| 15 | 57.117 Denominators for Specialty Care Area (SCA)/Oncology (ONC) | 500 | 12 | 300/60 |
| 16 | 57.118 Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA) | 5,500 | 60 | 300/60 |
| 17 | 57.120 Surgical Site Infection (SSI) | 3,800 | 12 | 14/60 |
| 18 | 57.121 Denominator for Procedure | 3,800 | 12 | 14/60 |
| 19 | 57.122 HAI Progress Report State Health Department Survey | 55 | 1 | 50/60 |
| 20 | 57.123 Antimicrobial Use and Resistance (AUR)—Microbiology Data Electronic Upload Specification Tables—Initial Set-up | 2,200 | 1 | 4,800/60 |
| 57.123 Antimicrobial Use and Resistance (AUR)—Microbiology Data Electronic Upload Specification Tables—Yearly Maintenance | 3,300 | 2 | 120/60 | |
| 57.123 Antimicrobial Use and Resistance (AUR)—Microbiology Data Electronic Upload Specification Tables—Monthly | 5,500 | 12 | 5/60 | |
| 21 | 57.124 Antimicrobial Use and Resistance (AUR)—Pharmacy Data Electronic Upload Specification Tables—Initial Set-up | 1,500 | 1 | 2,400/60 |
| 57.124 Antimicrobial Use and Resistance (AUR)—Pharmacy Data Electronic Upload Specification Tables—Yearly Maintenance | 4,000 | 1 | 120/60 | |
| 57.124 Antimicrobial Use and Resistance (AUR)—Pharmacy Data Electronic Upload Specification Tables—Monthly | 5,500 | 12 | 5/60 | |
| 22 | 57.125 Central Line Insertion Practices Adherence Monitoring | 500 | 213 | 26/60 |
| 23 | 57.126 MDRO or CDI Infection Form | 720 | 12 | 34/60 |
| 24 | 57.127 MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring | 5,500 | 29 | 15/60 |
| 25 | 57.128 Laboratory-identified MDRO or CDI Event | 4,800 | 12 | 24/60 |
| 26 | 57.129 Adult Sepsis | 50 | 12 | 28/60 |
| 27 | 57.130 Pathogens of High Consequence | 3,650 | 365 | 30/60 |
| 28 | 57.132 Patient Safety Component Digital Measure Reporting Plan (HOB, HT-CDI, VTE, Adult Sepsis, RPS, NVAP)-IT Initial Set up | 5,500 | 1 | 1,620/60 |
| 57.132 Patient Safety Component Digital Measure Reporting Plan (HOB, HT-CDI, VTE, Adult Sepsis, RPS, NVAP)-IT Yearly Maintenance | 5,500 | 1 | 1,200/60 | |
| 57.132 Patient Safety Component Digital Measure Reporting Plan (HOB, HT-CDI, VTE, Adult Sepsis, RPS, NVAP)-Infection Preventionist | 5,500 | 4 | 10/60 | |
| 57.132 Patient Safety Digital Reporting Plan (RPS CSV) | 5,500 | 365 | 2/60 | |
| 29 | 57.133 Patient Safety Attestation | 3,500 | 1 | 10/60 |
| 30 | 57.137 Long-Term Care Facility Component—Annual Facility Survey | 6,270 | 1 | 135/60 |
| 31 | 57.138 Laboratory-identified MDRO or CDI Event for LTCF | 286 | 24 | 23/60 |
| 32 | 57.139 MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF | 738 | 12 | 10/60 |
| 33 | 57.140 Urinary Tract Infection (UTI) for LTCF | 373 | 24 | 38/60 |
| 34 | 57.141 Monthly Reporting Plan for LTCF | 546 | 12 | 5/60 |
| 35 | 57.142 Denominators for LTCF Locations | 724 | 12 | 35/60 |
| 36 | 57.143 Prevention Process Measures Monthly Monitoring for LTCF | 434 | 12 | 5/60 |
| 37 | 57.145 Long Term Care Antimicrobial Use (LTC-AU) Module CDA | 16,500 | 12 | 5/60 |
| 38 | 57.150 LTAC Annual Survey | 395 | 1 | 102/60 |
| 39 | 57.151 Rehab Annual Survey | 395 | 1 | 102/60 |
| 40 | 57.211 Weekly Healthcare Personnel Influenza Vaccination Cumulative Summary for Non-Long-Term Care Facilities-Manual | 117 | 12 | 25/60 |
| 57.211 Weekly Healthcare Personnel Influenza Vaccination Cumulative Summary for Non-Long-Term Care Facilities-.CSV | 3,080 | 12 | 20/60 | |
| 41 | 57.214 Annual Healthcare Personnel Influenza Vaccination Summary-Manual | 22,000 | 1 | 120/60 |
| 57.214 Annual Healthcare Personnel Influenza Vaccination Summary-.CSV | 1,920 | 1 | 55/60 | |
| 42 | 57.215 Seasonal Survey on Influenza Vaccination Programs for Healthcare Personnel | 15,426 | 1 | 45/60 |
| 43 | 57.300 Hemovigilance Module Annual Survey | 63 | 1 | 86/60 |
| 44 | 57.301 Hemovigilance Module Monthly Reporting Plan | 108 | 12 | 1/60 |
| 45 | 57.302 Hemovigilance Module Monthly Incident Summary | 9 | 12 | 30/60 |
| 46 | 57.303 Hemovigilance Module Monthly Reporting Denominators | 102 | 12 | 70/60 |
| 47 | 57.305 Hemovigilance Incident | 13 | 77 | 10/60 |
| 48 | 57.306 Hemovigilance Module Annual Survey—Non-acute care facility | 20 | 1 | 35/60 |
| 49 | 57.307 Hemovigilance Adverse Reaction—Acute Hemolytic Transfusion Reaction | 8 | 2 | 22/60 |
| 50 | 57.308 Hemovigilance Adverse Reaction—Allergic Transfusion Reaction | 50 | 11 | 22/60 |
| 51 | 57.309 Hemovigilance Adverse Reaction—Delayed Hemolytic Transfusion Reaction | 9 | 2 | 20/60 |
| 52 | 57.310 Hemovigilance Adverse Reaction—Delayed Serologic Transfusion Reaction | 19 | 5 | 20/60 |
| 53 | 57.311 Hemovigilance Adverse Reaction—Febrile Non-hemolytic Transfusion Reaction | 85 | 13 | 20/60 |
| 54 | 57.312 Hemovigilance Adverse Reaction—Hypotensive Transfusion Reaction | 23 | 3 | 20/60 |
| 55 | 57.313 Hemovigilance Adverse Reaction—Infection | 2 | 2 | 20/60 |
| 56 | 57.314 Hemovigilance Adverse Reaction—Post Transfusion Purpura | 1 | 1 | 20/60 |
| 57 | 57.315 Hemovigilance Adverse Reaction—Transfusion Associated Dyspnea | 18 | 3 | 20/60 |
| 58 | 57.316 Hemovigilance Adverse Reaction—Transfusion Associated Graft vs. Host Disease | 1 | 1 | 20/60 |
| 59 | 57.317 Hemovigilance Adverse Reaction—Transfusion Related Acute Lung Injury | 1 | 1 | 20/60 |
| 60 | 57.318 Hemovigilance Adverse Reaction—Transfusion Associated Circulatory Overload | 40 | 4 | 21/60 |
| 61 | 57.319 Hemovigilance Adverse Reaction—Unknown Transfusion Reaction | 15 | 3 | 20/60 |
| 62 | 57.320 Hemovigilance Adverse Reaction—Other Transfusion Reaction | 39 | 3 | 20/60 |
| 63 | 57.400 Outpatient Procedure Component—Annual Ambulatory Surgery Center Survey | 350 | 1 | 10/60 |
| 64 | 57.401 Outpatient Procedure Component—Monthly Reporting Plan | 350 | 12 | 10/60 |
| 65 | 57.402 Outpatient Procedure Component Same Day Outcome Measures | 50 | 1 | 43/60 |
| 66 | 57.403 Outpatient Procedure Component—Denominators for Same Day Outcome Measures | 50 | 400 | 20/60 |
| 67 | 57.404 Outpatient Procedure Component—SSI Denominator | 300 | 100 | 23/60 |
| 68 | 57.405 Outpatient Procedure Component—Surgical Site (SSI) Event | 300 | 36 | 40/60 |
| 69 | 57.408 Monthly Survey Patient Days & Nurse Staffing | 2,500 | 12 | 300/60 |
| 70 | 57.500 Outpatient Dialysis Center Practices Survey | 6,900 | 1 | 150/60 |
| 71 | 57.501 Dialysis Monthly Reporting Plan | 7,400 | 12 | 5/60 |
| 72 | 57.502 Dialysis Event | 7,400 | 30 | 50/60 |
| 73 | 57.503 Denominator for Outpatient Dialysis | 7,400 | 12 | 10/60 |
| 74 | 57.504 Prevention Process Measures Monthly Monitoring for Dialysis | 1,730 | 12 | 60/60 |
| 75 | 57.507 Home Dialysis Center Practices Survey | 550 | 1 | 65/60 |
| 76 | 57.600 Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-IT Initial Set up | 5,500 | 1 | 1,620/60 |
| 57.600 Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-IT Yearly Maintenance | 5,500 | 1 | 1,200/60 | |
| 57.600 Neonatal Component FHIR Measure-Late Onset Sepsis Meningitis (LOSMEN) Module-Infection Preventionist | 5,500 | 6 | 6/60 | |
| 57.600 Neonatal Component Late Onset Sepsis Meningitis (LOSMEN) Module CDA Data Collection-Infection Preventionist | 5,500 | 12 | 2/60 | |
| 77 | 57.601 Late Onset Sepsis/Meningitis Denominator Form: Late Onset Sepsis/Meningitis Denominator Form: Data Table for monthly electronic upload | 300 | 6 | 5/60 |
| 78 | 57.602 Late Onset Sepsis/Meningitis Event Form: Data Table for Monthly Electronic Upload | 300 | 6 | 6/60 |
| 79 | 57.700 Medication Safety-Digital Measure Reporting Plan (HYPO, HAKI, ORAE)—IT Initial Set up | 5,500 | 1 | 1,620/60 |
| 57.700 Medication Safety-Digital Measure Reporting Plan (HYPO, HAKI, ORAE)—IT Yearly Maintenance | 5,500 | 1 | 1,200/60 | |
| 57.700 Medication Safety-Digital Measure Reporting Plan (HYPO, HAKI, ORAE)—Infection Preventionist | 5,500 | 4 | 10/60 | |
| 80 | 57.701 Glycemic Control Module-HYPO Annual Survey | 10 | 1 | 180/60 |
| 81 | 57.800 Billing Code Data: 837I Upload | 5,500 | 4 | 5/60 |
| 82 | 57.801 External Validation Summary Report | 20 | 2 | 15/60 |
| 83 | 57.802 Bed Capacity-IT Initial Set Up | 25 | 1 | 20/60 |
| 84 | 57.803 All Hazards | 540 | 365 | 5/60 |