Non-Substantive Change Request Memo [08JAN2025]

Change Memo 0920-1317 December 2024.docx

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

Non-Substantive Change Request Memo [08JAN2025]

OMB: 0920-1317

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Change Request Memo

National Healthcare Safety Network (NHSN)

Surveillance in Healthcare Facilities

(OMB Control Nos. 0920-1317)

Expiration Date: 1/31/2028






























Program Contact


Paula Farrell

Surveillance Branch

Division of Healthcare Quality Promotion

National Center for Emerging and Zoonotic Infectious Diseases

Centers for Disease Control and Prevention

Atlanta, Georgia 30333

Phone: 404-498-4019 

Email: ujb1@cdc.gov


Submission Date: December 11, 2024

The Centers for Disease Control and Prevention (CDC), Division of Healthcare Quality Promotion (DHQP) requests approval for non-substantive changes to one currently approved data collection instrument in the National Healthcare Safety Network (NHSN) Coronavirus (COVID-19) Surveillance in Healthcare Facilities (OMB Control No. 0920-1317).


NHSN was unaware that these revisions would be needed at the time that the revision package for 0920-1317 was submitted.We are requesting a determination of this review by December 30, 2024, as these revisions will go into effect on January 6, 2025.


These non-substantive changes are minor and do not constitute more than a 10% change to the original OMB package (0920-1317). The data collection for which approval for changes are being sought include:

  1. 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities

The changes to the currently approved instrument, including associated burden, are described below.

  1. 57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities

A new data element is being added to the form. The Date Completed data element will be auto populated in the NHSN application to indicate when all required questions on the form were first completed and saved in the NHSN application.


Time Burden: The Average Burden per Response is not changing, but we are updating the Number of Respondents with this revision.


Change in Time Burden: Total burden for manual submission increased from 227,500 to 284,332 and for .csv submission decreased from 104,000 to 26,451.


Burden Estimates – 0920-1317

As a result of proposed changes to the form, the estimated annualized burden is expected to decrease by 20,717 hours, from 1,752,540 to 1,731,823.

Form Number & Name

No. of Respondents

No. Responses per Respondent

Avg. Burden per response (in hrs.)

Total Burden

(in hrs.)

Hourly Wage Rate

Total Respondent Cost

Type of Respondent

57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities (manual)



13,123



52



25/60



284,332

$58.60

$16,661,856

Microbiologist

57.218 Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long-Term Care Facilities (.csv)



1,526



52



20/60



26,451


$56.50


$1,494,482


Information Technology

Total Burden Hours for 0920-1317 - 1,731,823


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWattenmaker, Lauren (CDC/DDID/NCEZID/DHQP)
File Modified0000-00-00
File Created2025-01-13

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