OMB control number
[NCEZID] National Healthcare Safety Network (NHSN) Respiratory Data
OMB 0920-1317 · HHS/CDC.
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.
The latest form for [NCEZID] National Healthcare Safety Network (NHSN) Respiratory Data expires 2028-01-31 and can be found here.
Document Name |
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57.510 COVID–19 Module Dialysis Outpatient Facility-CSV 57.140 NHSN and Secure Access Management Services (SAMS) enrollment
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form 0920-1317 | NHSN Registration Form | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.