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Agency Forms Undergoing Paperwork Reduction Act Review

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The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639-5960 or send an email to Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC or by fax to (202) 395-5806. Written comments should be received within 30 days of this notice.

Proposed Project

National Healthcare Safety Network (NHSN) (OMB No. 0920-0666 exp. 3/31/2012)—Revision—National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

The National Healthcare Safety Network (NHSN) is a system designed to accumulate, exchange, and integrate relevant information and resources among private and public stakeholders to support local and national efforts to protect patients and to promote healthcare safety. Specifically, the data is used to determine the magnitude of various healthcare-associated adverse events and trends in the rates of these events among patients and healthcare workers with similar risks. Healthcare institutions that participate in NHSN voluntarily report their data to CDC using a web browser based technology for data entry and data management. Data are collected by trained surveillance personnel using written standardized protocols. The data will be used to detect changes in the epidemiology of adverse events resulting from new and current medical therapies and changing risks.

This revision submission includes an amended Assurance of Confidentiality, which required an update of the Assurance of Confidentiality language on all forms included in the NHSN surveillance system. The scope of NHSN dialysis surveillance is being expanded to include all outpatient dialysis centers so that the existing Dialysis Annual Survey can be used to facilitate prevention objectives set forth in the HHS HAI tier 2 Action Plan and to assess national practices in all Medicare-certified dialysis centers if CMS re-establishes this survey method (as expected). The Patient Safety (PS) Component is being expanded to include long term care facilities to facilitate HAI surveillance in this setting, for which no standardized reporting methodology or mechanism currently exists. Four new forms are proposed for this purpose. A new form is proposed to be added to the Healthcare Personnel Safety (HPS) Component to facilitate summary reporting of influenza vaccination in healthcare workers, which is anticipated to be required by CMS in the near future. In addition to this new form, the scope of the HPS Annual Facility Survey is being expanded to include all acute care facilities that would enroll if CMS does implement this requirement. The NHSN Antimicrobial Use and Resistance module is transitioning from manual web entry to electronic data upload only, which results in a significant decrease to the reporting burden for this package. Finally, there are many updates, clarifications, and data collection revisions proposed in this submission.

CDC is requesting to delete four currently approved forms that are no longer needed by the NHSN and add five new forms

The previously-approved NHSN package included 47 individual data collection forms. If all proposed revisions are approved, the reporting burden will decrease by 1,258,119 hours, for a total estimated burden of 3,914,125 hours and 48 total data collection tools.

Participating institutions must have a computer capable of supporting an Internet service provider (ISP) and access to an ISP. There is no cost to respondents other than their time. The total estimated annual burden hours are 3,914,125.Start Printed Page 74065

Estimate of Annualized Burden Hours

RespondentsForm nameNumber of respondentsResponses per respondentBurden per response (hours)
Infection PreventionistNHSN Registration Form6,00015/60
Facility Contact Information6,000110/60
Patient Safety Component—Annual Facility Survey6,000140/60
Patient Safety Component—Outpatient Dialysis Center Practices Survey5,50011
Group Contact Information6,00015/60
Patient Safety Monthly Reporting Plan6,000935/60
Primary Bloodstream Infection (BSI)6,0003632/60
Dialysis Event5007515/60
Pneumonia (PNEU)6,0007232/60
Urinary Tract Infection (UTI)6,0002732/60
Staff RNDenominators for Neonatal Intensive Care Unit (NICU)6,00094
Denominators for Specialty Care Area (SCA)6,00095
Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA)6,000185
Staff RNDenominator for Outpatient Dialysis500125/60
Infection PreventionistSurgical Site Infection (SSI)6,0002732/60
Staff RNDenominator for Procedure6,00054010/60
Laboratory TechnicianAntimicrobial Use and Resistance (AUR)-Microbiology Data Electronic Upload Specification Tables6,000125/60
Pharmacy TechnicianAntimicrobial Use and Resistance (AUR)—Pharmacy Data Electronic Upload Specification Tables6,000125/60
Infection PreventionistCentral Line Insertion Practices Adherence Monitoring6,0001005/60
MDRO or CDI Infection Form6,0007232/60
MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring6,0002410/60
Laboratory-identified MDRO or CDI Event6,00024025/60
Vaccination Monthly Monitoring Form-Summary Method6,000514
Vaccination Monthly Monitoring Form-Patient-Level Method2,00052
Patient Vaccination2,00025010/60
Patient Safety Component—Annual Facility Survey for LTCF250125/60
Laboratory-identified MDRO or CDI Event for LTCF250830/60
MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF25037/60
Urinary Tract Infection (UTI) for LTCF250930/60
Occ Health RNHealthcare Personnel Safety Component Annual Facility Survey6,00018
Healthcare Worker Survey60010010/60
Healthcare Personnel Safety Monthly Reporting Plan600910/60
Healthcare Worker Demographic Data60020020/60
Exposure to Blood/Body Fluids600501
Healthcare Worker Prophylaxis/Treatment6001015/60
Laboratory TechnicianFollow-Up Laboratory Testing60010015/60
Occ Health RNHealthcare Worker Vaccination History60030010/60
Occ Health RNHealthcare Worker Influenza Vaccination60050010/60
Healthcare Worker Prophylaxis/Treatment-Influenza6005010/60
Pre-season Survey on Influenza Vaccination Programs for Healthcare Personnel600110/60
Post-season Survey on Influenza Vaccination Programs for Healthcare Personnel600110/60
Healthcare Personnel Influenza Vaccination Monthly Summary6,00062
Clinical Laboratory TechnologistHemovigilance Module Annual Survey50012
Hemovigilance Module Monthly Reporting Plan500122/60
Hemovigilance Module Monthly Incident Summary500122
Hemovigilance Module Monthly Reporting Denominators5001230/60
Hemovigilance Adverse Reaction50012010/60
Hemovigilance Incident5007210/60
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Dated: November 22, 2011

Daniel Holcomb,

Reports Clearance Officer, Centers for Disease Control and Prevention.

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[FR Doc. 2011-30832 Filed 11-29-11; 8:45 am]