Notice2022-28004
Agency Forms Undergoing Paperwork Reduction Act Review
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
December 23, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Full Text
<html>
<head>
<title>Federal Register, Volume 87 Issue 246 (Friday, December 23, 2022)</title>
</head>
<body><pre>
[Federal Register Volume 87, Number 246 (Friday, December 23, 2022)]
[Notices]
[Pages 78969-78971]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-28004]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30-Day-23-0666]
Agency Forms Undergoing Paperwork Reduction Act Review
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 (NHSN)''
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 August 26, 2022 to
obtain comments from the public and affected agencies. CDC received one
comment 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 <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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. 1/31/2025)--Revision--National Center for Emerging and
Zoonotic Infection 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 No. 0920-0666. NHSN provides facilities, 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 allows healthcare
facilities to track blood safety errors and various healthcare-
associated infection prevention practice methods such as healthcare
personnel influenza vaccine status and corresponding infection control
adherence rates.
NHSN currently has seven components: Patient Safety (PS);
Healthcare Personnel Safety (HPS); Biovigilance (BV); Long-Term Care
Facility (LTCF); Outpatient Procedure (OPC); Dialysis Component; and
the Neonatal Component. NHSN has increasingly served as the operating
system for HAI reporting compliance through legislation established by
the states. As of April 2020, 36 states, the District of Columbia and
the City of Philadelphia, Pennsylvania have opted to use NHSN as their
primary system for mandated reporting. Reporting compliance is
completed by healthcare facilities in their respective jurisdictions,
with emphasis on those states and municipalities acquiring varying
consequences for failure to use NHSN. Additionally, healthcare
facilities in five U.S. territories (Puerto Rico, American Samoa, the
U.S. Virgin Islands, Guam, and the Northern Mariana Islands) are
voluntarily reporting to NHSN. Additional territories are projected to
follow with similar use of NHSN for reporting purposes. NHSN's data is
used to aid in the tracking of HAIs and guide infection prevention
activities/practices that protect patients. The Centers for Medicare
and Medicaid Services (CMS)and other payers use these data to determine
incentives for performance at healthcare facilities across the US and
surrounding territories, and members of the public may use some
protected data to inform their selection among available providers.
Each of these parties is dependent on the completeness and accuracy of
the data. CDC and CMS work closely and are fully committed to ensuring
complete and accurate reporting, which are critical for protecting
patients and guiding national, state, and local prevention priorities.
CMS collects some HAI data and healthcare personnel influenza
vaccination summary data, which is done on a voluntary basis as part of
its Fee-for-Service Medicare quality reporting programs, while others
may report data required by a federal mandate. Facilities that fail to
report quality measure data are subject to partial payment reduction in
the applicable Medicare Fee-for-Service payment system. CMS links their
quality reporting to payment for Medicare-eligible acute care
hospitals, inpatient rehabilitation facilities, long-term acute care
facilities, oncology hospitals, inpatient psychiatric facilities,
dialysis facilities, and ambulatory surgery centers. Facilities report
HAI data and healthcare personnel influenza vaccination summary data to
CMS via NHSN as part of CMS's quality reporting programs to
[[Page 78970]]
receive full payment. Still, many healthcare facilities, even in states
without HAI reporting legislation, submit limited HAI data to NHSN
voluntarily. NHSN's data collection updates continue to support the
incentive programs managed by CMS. For example, survey questions
support requirements for CMS' quality reporting programs. Additionally,
CDC has collaborated with CMS on a voluntary National Nursing Home
Quality Collaborative, which focuses on recruiting nursing homes to
report HAI data to NHSN and to retain their continued participation.
The NHSN collection was previously approved in January of 2022 for
1,321,991 burden hours. The proposed changes to NHSN include revisions
to 41 existing data collection forms. CDC requests OMB approval for an
estimated 1,614,651 annual burden hours.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average
Number of responses per burden per
Type of respondent Form No. & name respondents respondent response (in
(in hours) hours)
----------------------------------------------------------------------------------------------------------------
NHSN Participant.................... 57.100 NHSN Registration 2,000 1 5/60
Form.
57.101 Facility Contact 2,000 1 10/60
Information.
57.103 Patient Safety 6765 1 90/60
Component--Annual
Hospital Survey.
57.104 Facility 800 1 5/60
Administrator Change
Request Form.
57.105 Group Contact 1,000 1 5/60
Information.
57.106 Patient Safety 7,821 12 15/60
Monthly Reporting Plan.
57.108 Primary Bloodstream 5,775 5 38/60
Infection (BSI).
57.111 Pneumonia (PNEU)... 1,800 2 30/60
57.112 Ventilator- 5,463 8 28/60
Associated Event.
57.113 Pediatric 334 1 30/60
Ventilator-Associated
Event (PedVAE).
57.114 Urinary Tract 6,000 5 20/60
Infection (UTI).
57.115 Custom Event....... 600 91 35/60
57.116 Denominators for 1,100 12 4/60
Neonatal Intensive Care
Unit (NICU).
57.117 Denominators for 500 12 5/60
Specialty Care Area (SCA)/
Oncology (ONC).
57.118 Denominators for 5,500 60 5/60
Intensive Care Unit (ICU)/
Other locations (not NICU
or SCA).
57.120 Surgical Site 6,000 9 35/60
Infection (SSI).
57.121 Denominator for 6,000 602 10/60
Procedure.
57.122 HAI Progress Report 55 1 28/60
State Health Department
Survey.
57.123 Antimicrobial Use 2,500 12 5/60
and Resistance (AUR)-
Microbiology Data
Electronic Upload
Specification Tables.
57.124 Antimicrobial Use 2,500 12 5/60
and Resistance (AUR)-
Pharmacy Data Electronic
Upload Specification
Tables.
57.125 Central Line 500 213 25/60
Insertion Practices
Adherence Monitoring.
57.126 MDRO or CDI 720 11 30/60
Infection Form.
57.127 MDRO and CDI 5,500 29 15/60
Prevention Process and
Outcome Measures Monthly
Monitoring.
57.128 Laboratory- 4,800 79 20/60
identified MDRO or CDI
Event.
57.129 Adult Sepsis....... 50 250 25/60
57.135 Late Onset Sepsis/ 300 6 5/60
Meningitis Denominator
Form: Data Table for
monthly electronic upload.
57.136 Late Onset Sepsis/ 300 6 5/60
Meningitis Event Form:
Data Table for Monthly
Electronic Upload.
57.137 Long-Term Care 17,700 1 120/60
Facility Component--
Annual Facility Survey.
57.138 Laboratory- 1998 24 20/60
identified MDRO or CDI
Event for LTCF.
57.139 MDRO and CDI 1998 12 20/60
Prevention Process
Measures Monthly
Monitoring for LTCF.
57.140 Urinary Tract 339 36 35/60
Infection (UTI) for LTCF.
57.141 Monthly Reporting 2011 12 5/60
Plan for LTCF.
57.142 Denominators for 339 12 35/60
LTCF Locations.
57.143 Prevention Process 130 12 5/60
Measures Monthly
Monitoring for LTCF.
57.150 LTAC Annual Survey. 620 1 82/60
57.151 Rehab Annual Survey 1,340 1 82/60
57.200 Healthcare 50 1 480/60
Personnel Safety
Component Annual Facility
Survey.
57.204 Healthcare Worker 50 200 20/60
Demographic Data.
57.205 Exposure to Blood/ 50 50 60/60
Body Fluids.
57.206 Healthcare Worker 50 30 15/60
Prophylaxis/Treatment.
57.207 Follow-Up 50 50 15/60
Laboratory Testing.
57.210 Healthcare Worker 50 50 10/60
Prophylaxis/Treatment-
Influenza.
57.300 Hemovigilance 500 1 85/60
Module Annual Survey.
57.301 Hemovigilance 500 12 60/60
Module Monthly Reporting
Plan.
57.303 Hemovigilance 500 12 70/60
Module Monthly Reporting
Denominators.
57.305 Hemovigilance 500 10 10/60
Incident.
57.306 Hemovigilance 500 1 35/60
Module Annual Survey--Non-
acute care facility.
57.307 Hemovigilance 500 4 20/60
Adverse Reaction--Acute
Hemolytic Transfusion
Reaction.
57.308 Hemovigilance 500 4 20/60
Adverse Reaction--
Allergic Transfusion
Reaction.
[[Page 78971]]
57.309 Hemovigilance 500 1 20/60
Adverse Reaction--Delayed
Hemolytic Transfusion
Reaction.
57.310 Hemovigilance 500 2 20/60
Adverse Reaction--Delayed
Serologic Transfusion
Reaction.
57.311 Hemovigilance 500 4 20/60
Adverse Reaction--Febrile
Non-hemolytic Transfusion
Reaction.
57.312 Hemovigilance 500 1 20/60
Adverse Reaction--
Hypotensive Transfusion
Reaction.
57.313 Hemovigilance 500 1 20/60
Adverse Reaction--
Infection.
57.314 Hemovigilance 500 1 20/60
Adverse Reaction--Post
Transfusion Purpura.
57.315 Hemovigilance 500 1 20/60
Adverse Reaction--
Transfusion Associated
Dyspnea.
57.316 Hemovigilance 500 1 20/60
Adverse Reaction--
Transfusion Associated
Graft vs. Host Disease.
57.317 Hemovigilance 500 1 20/60
Adverse Reaction--
Transfusion Related Acute
Lung Injury.
57.318 Hemovigilance 500 2 20/60
Adverse Reaction--
Transfusion Associated
Circulatory Overload.
57.319 Hemovigilance 500 1 20/60
Adverse Reaction--Unknown
Transfusion Reaction.
57.320 Hemovigilance 500 1 20/60
Adverse Reaction--Other
Transfusion Reaction.
57.400 Outpatient 700 1 10/60
Procedure Component--
Annual Facility Survey.
57.401 Outpatient 700 12 15/60
Procedure Component--
Monthly Reporting Plan.
57.402 Outpatient 200 1 40/60
Procedure Component Same
Day Outcome Measures.
57.403 Outpatient 200 400 40/60
Procedure Component--
Monthly Denominators for
Same Day Outcome Measures.
57.404 Outpatient 700 100 40/60
Procedure Component--SSI
Denominator.
57.405 Outpatient 700 5 40/60
Procedure Component--
Surgical Site (SSI) Event.
57.500 Outpatient Dialysis 7,200 1 12/60
Center Practices Survey.
57.501 Dialysis Monthly 7,200 12 5/60
Reporting Plan.
57.502 Dialysis Event..... 7,200 30 25/60
57.503 Denominator for 7,200 30 10/60
Outpatient Dialysis.
57.504 Prevention Process 1,730 12 75/60
Measures Monthly
Monitoring for Dialysis.
57.505 Dialysis Patient 615 50 10/60
Influenza Vaccination.
57.506 Dialysis Patient 615 5 10/60
Influenza Vaccination
Denominator.
57.507 Home Dialysis 430 1 30/60
Center Practices Survey.
Weekly Healthcare 125 52 60/60
Personnel Influenza
Vaccination Cumulative
Summary for Non-Long-Term
Care Facilities.
Weekly Healthcare 1,200 52 60/60
Personnel Influenza
Vaccination Cumulative
Summary for Long-Term
Care Facilities.
Weekly Resident Influenza 2,500 52 60/60
Vaccination Cumulative
Summary for Long-Term
Care Facilities.
Annual Healthcare 5,000 1 120/60
Personnel Influenza
Vaccination Summary.
Monthly Survey Patient 2,500 12 60/60
Days & Nurse Staffing.
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-28004 Filed 12-22-22; 8:45 am]
BILLING CODE 4163-18-P
</pre></body>
</html>Indexed from Federal Register on December 23, 2022.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.