Proposed Data Collection Submitted for Public Comment and Recommendations

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Published

May 12, 2026

Issuing agencies

Health and Human Services DepartmentCenters for Disease Control and Prevention

Abstract

The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other federal agencies the opportunity to comment on a continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled National Healthcare Safety Network (NHSN). NHSN is the nation's most widely used healthcare-associated infection tracking system that provides facilities, states, regions, and the nation with data needed to identify problem areas, measure progress of prevention efforts, and ultimately eliminate healthcare-associated infections.

Full Text

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<title>Federal Register, Volume 91 Issue 91 (Tuesday, May 12, 2026)</title>
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[Federal Register Volume 91, Number 91 (Tuesday, May 12, 2026)]
[Notices]
[Pages 25884-25887]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-09434]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60 Day-26-0666; Docket No. CDC-2026-0761]

Proposed Data Collection Submitted for Public Comment and
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).

ACTION: Notice with comment period.

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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
federal agencies the opportunity to comment on a continuing information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled National Healthcare Safety Network (NHSN). NHSN is the nation's
most widely used healthcare-associated infection tracking system that
provides facilities, states, regions, and the nation with data needed
to identify problem areas, measure progress of prevention efforts, and
ultimately eliminate healthcare-associated infections.

DATES: CDC must receive written comments on or before July 13, 2026.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2026-
0761 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) or by U.S. mail to the address listed
above.

FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#e08f8d82a0838483ce878f96"><span class="__cf_email__" data-cfemail="5936343b193a3d3a773e362f">[email&#160;protected]</span></a>.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. 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;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. 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
submissions of responses; and
5. Assess information collection costs.

Proposed Project

National Healthcare Safety Network (NHSN) (OMB Control No. 0920-
0666, Exp. 3/31/2029)--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 Number 0920-0666. CDC's NHSN is the nation's most widely used
healthcare-associated infection tracking system. NHSN provides
facilities, states, regions, and the nation with data needed to
identify problem areas, measure progress of prevention efforts, and
ultimately eliminate healthcare-associated infections. In addition,
NHSN allows healthcare facilities to track blood safety errors and
important healthcare process measures such as healthcare personnel
influenza vaccine status and infection control adherence rates.
NHSN provides medical facilities, states, regions, and the nation
with data collection and reporting capabilities needed to:
<bullet> identify infection prevention problems by facility, state,
or specific quality improvement project
<bullet> benchmark progress of infection prevention efforts
<bullet> comply with state and federal public reporting mandates,
and ultimately,
<bullet> drive national progress toward elimination of HAIs.
NHSN serves over 25,000 medical facilities including acute care
hospitals, long-term acute care hospitals, psychiatric hospitals,
rehabilitation hospitals, outpatient dialysis centers, ambulatory
surgery centers, and nursing homes. 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.
While ensuring data security, integrity, and confidentiality, NHSN
gives healthcare facilities the ability to see their data in real-time
and share that information with clinicians and facility leadership, as
well as with other facilities (e.g., a multihospital system) and
partners such as health departments or quality improvement
organizations. CDC provides the standard national measures for HAIs as
well as analytic tools that enable each facility to assess its progress
and identify where additional efforts are needed. In addition, NHSN is
the conduit for facilities to comply with Centers for Medicare and
Medicaid Services (CMS) infection reporting requirements.
The ICR previously approved in March 2026 for 5,896,801 responses,
4,509,135 burden hours and $263,651,599 in annual cost. The proposed
changes in this new ICR

[[Page 25885]]

include revisions to 72 existing data collection forms. These revisions
include the addition, modification, or removal of certain questions and
the adjustment of burden to more accurately reflect the time needed to
respond to the NHSN modules. In this Revision, CDC requests OMB
approval for an estimated 3,519,732 annual burden hours.

Estimated Annualized Burden Hours
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Average
Number of Number of burden per Total burden
Type of respondents Form number & name respondents responses per response (hours)
respondent (hours)
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Infection Preventionist/Microbiologist......... 57.100 NHSN Registration Form.......... 2,000 1 5 167
Infection Preventionist/Microbiologist......... 57.101 Facility Contact Information.... 2,000 1 10 333
Infection Preventionist/Microbiologist......... 57.102 NHSN Help Desk Customer 26,400 1 2 880
Satisfaction Survey.
Infection Preventionist/Microbiologist......... 57.103 Patient Safety Component-Annual 5,400 1 145 13,050
Hospital Survey.
Infection Preventionist/Microbiologist......... 57.104 NHSN Facility Administrator 800 1 5 67
Change Request Form.
Epidemiologists................................ 57.105 Group Contact Information....... 1,000 1 5 83
Infection Preventionist/Microbiologist......... 57.106 Patient Safety Monthly Reporting 7,821 12 15 23,463
Plan.
Infection Preventionist/Microbiologist......... 57.108 Primary Bloodstream Infection 6,000 12 45 54,000
(BSI).
Infection Preventionist/Microbiologist......... 57.111 Pneumonia (PNEU)................ 150 2 33 165
Infection Preventionist/Microbiologist......... 57.112 Ventilator-Associated Event 5,463 8 31 22,580
(VAE).
Infection Preventionist/Microbiologist......... 57.113 Pediatric Ventilator-Associated 334 1 33 184
Event (PedVAE).
Infection Preventionist/Microbiologist......... 57.114 Urinary Tract Infection (UTI)... 6,000 12 25 30,000
Infection Preventionist/Microbiologist......... 57.115 Custom Event.................... 600 91 38 34,580
Infection Preventionist/Microbiologist......... 57.116 Denominators for Neonatal 1,100 12 240 52,800
Intensive Care Unit (NICU).
Infection Preventionist/Microbiologist......... 57.117 Denominators for Specialty Care 500 12 300 30,000
Area (SCA)/Oncology (ONC).
Infection Preventionist/Microbiologist......... 57.118 Denominators for Intensive Care 5,500 60 300 1,650,000
Unit (ICU)/Other locations (not NICU
or SCA).
Infection Preventionist/Microbiologist......... 57.120 Surgical Site Infection (SSI)... 3,800 12 13 9,880
Infection Preventionist/Microbiologist......... 57.121 Denominator for Procedure....... 3,800 12 13 9,880
Epidemiologists................................ 57.122 HAI Progress Report State Health 55 1 50 46
Department Survey.
Pharmacist..................................... 57.123 Antimicrobial Use and Resistance 1,200 1 4,800 96,000
(AUR)--Microbiology Data Electronic
Upload Specification Tables--Initial
Set-up.
Pharmacist..................................... 57.123 Antimicrobial Use and Resistance 4,300 2 120 17,200
(AUR)--Microbiology Data Electronic
Upload Specification Tables--Yearly
Maintenance.
Pharmacist..................................... 57.123 Antimicrobial Use and Resistance 5,500 12 5 5,500
(AUR)--Microbiology Data Electronic
Upload Specification Tables--Monthly.
Pharmacist..................................... 57.124 Antimicrobial Use and Resistance 800 1 2,400 32,000
(AUR)--Pharmacy Data Electronic Upload
Specification Tables--Initial Set-up.
Pharmacist..................................... 57.124 Antimicrobial Use and Resistance 4,700 1 120 9,400
(AUR)VPharmacy Data Electronic Upload
Specification Tables--Yearly
Maintenance.
Pharmacist..................................... 57.124 Antimicrobial Use and Resistance 5,500 12 5 5,500
(AUR)--Pharmacy Data Electronic Upload
Specification Tables--Monthly.
Infection Preventionist/Microbiologist......... 57.126 MDRO or CDI Infection Form...... 720 12 33 4,752
Infection Preventionist/Microbiologist......... 57.127 MDRO and CDI Prevention Process 5,500 29 15 39,875
and Outcome Measures Monthly
Monitoring.
Infection Preventionist/Microbiologist......... 57.128 Laboratory-identified MDRO or 4,800 12 23 22,080
CDI Event.
Infection Preventionist/Microbiologist......... 57.129 Adult Sepsis.................... 50 12 28 280
Infection Preventionist/Microbiologist......... 57.130 Infectious Diseases of Public 1,825 365 35 388,573
Health Concern.

[[Page 25886]]

Infection Preventionist/Microbiologist......... 57.130 Infectious Diseases of Public 1,825 365 5 55,510
Health Concern.
Information Technology......................... 57.132 Patient Safety Component Digital 4,980 1 1,500 124,500
Measure Reporting Plan (HOB, HT-CDI,
Adult Sepsis, RPS, HYPO, LOSMEN)--IT
Initial Set up.
Information Technology......................... 57.132 Patient Safety Component Digital 20 1 1,200 400
Measure Reporting Plan (HOB, HT-CDI,
Adult Sepsis, RPS, HYPO, LOSMEN)--IT
Yearly Maintenance.
Information Technology......................... 57.132 Patient Safety Component Digital 495 1 1,000 8,250
Measure Reporting Plan (RPS ONLY Daily
FHIR Submission)--IT Initial Set Up.
Information Technology......................... 57.132 Patient Safety Component Digital 5 1 800 67
Measure Reporting Plan (RPS ONLY Daily
FHIR Submission)--Yearly Maintenance.
Infection Preventionist/Microbiologist......... 57.132 Patient Safety Component Digital 5,500 1 8 733
Measure Reporting Plan (HOB, HT-CDI,
Adult Sepsis, RPS, HYPO, LOSMEN,
Claims Data)--Infection Preventionist.
Infection Preventionist/Microbiologist......... 57.132 Patient Safety Digital Reporting 25 365 2 304
Plan (RPS CSV).
Infection Preventionist/Microbiologist......... 57.133 Patient Safety Attestation...... 3,500 1 10 583
Infection Preventionist/Microbiologist......... 57.137 Long-Term Care Facility 6,270 1 135 14,108
Component--Annual Facility Survey.
Infection Preventionist/Microbiologist......... 57.138 Laboratory-identified MDRO or 286 24 22 2,517
CDI Event for LTCF.
Infection Preventionist/Microbiologist......... 57.139 MDRO and CDI Prevention Process 738 12 10 1,476
Measures Monthly Monitoring for LTCF.
Infection Preventionist/Microbiologist......... 57.140 Urinary Tract Infection (UTI) 373 24 37 5,520
for LTCF.
Infection Preventionist/Microbiologist......... 57.141 Monthly Reporting Plan for LTCF. 546 12 5 546
Infection Preventionist/Microbiologist......... 57.142 Denominators for LTCF Locations. 724 12 35 5,068
Infection Preventionist/Microbiologist......... 57.143 Prevention Process Measures 434 12 5 434
Monthly Monitoring for LTCF.
Infection Preventionist/Microbiologist......... 57.145 Long Term Care Antimicrobial Use 16,500 12 5 16,500
(LTC-AU) Module--Digital Upload
Specification Tables.
Infection Preventionist/Microbiologist......... 57.150 LTAC Annual Survey.............. 395 1 99 652
Infection Preventionist/Microbiologist......... 57.151 Rehab Annual Survey............. 395 1 83 546
Occupational Health RN/Specialist.............. 57.211 Weekly Healthcare Personnel 117 12 25 585
Influenza Vaccination Cumulative
Summary for Non-Long-Term Care
Facilities--Manual.
Occupational Health RN/Specialist.............. 57.214 Annual Healthcare Personnel 22,440 1 120 44,880
Influenza Vaccination Summary--Manual.
Occupational Health RN/Specialist.............. 57.214 Annual Healthcare Personnel 1,920 1 55 1,760
Influenza Vaccination Summary--CSV.
Occupational Health RN/Specialist.............. 57.215 Seasonal Survey on Influenza 15,426 1 45 11,570
Vaccination Programs for Healthcare
Personnel.
Medical/Clinical Laboratory Technologist....... 57.300 Hemovigilance Module Annual 57 1 30 29
Survey.
Medical/Clinical Laboratory Technologist....... 57.301 Adverse Reaction Investigaton 47 5 20 78
Form.
Medical/Clinical Laboratory Technologist....... 57.302 Transfusion Transmitted 3 1 7 1
Infections (TTI) Rapid Alert Form.
Medical/Clinical Laboratory Technologist....... 57.303 Transfusion Transmitted 3 1 60 3
Infections (TTI) Investigation Form.
Infection Preventionist/Microbiologist......... 57.400 Outpatient Procedure Component-- 350 1 10 58
Annual Ambulatory Surgery Center
Survey.
Infection Preventionist/Microbiologist......... 57.401 Outpatient Procedure Component-- 350 12 10 700
Monthly Reporting Plan.
Infection Preventionist/Microbiologist......... 57.402 Outpatient Procedure Component 50 1 42 35
Same Day Outcome Measures.

[[Page 25887]]

Infection Preventionist/Microbiologist......... 57.403 Outpatient Procedure Component-- 50 400 20 6,667
Denominators for Same Day Outcome
Measures.
Infection Preventionist/Microbiologist......... 57.404 Outpatient Procedure Component-- 300 100 22 11,000
SSI Denominator.
Infection Preventionist/Microbiologist......... 57.405 Outpatient Procedure Component-- 300 36 39 7,020
Surgical Site (SSI) Event.
Infection Preventionist/Microbiologist......... 57.408 Monthly Survey Patient Days & 2,500 12 300 150,000
Nurse Staffing.
Infection Preventionist/Microbiologist......... 57.500 Outpatient Dialysis Center 6,900 1 153 17,595
Practices Survey.
Infection Preventionist/Microbiologist......... 57.501 Dialysis Monthly Reporting Plan. 7,400 12 5 7,400
Infection Preventionist/Microbiologist......... 57.502 Dialysis Event.................. 7,400 30 50 185,000
Infection Preventionist/Microbiologist......... 57.503 Denominator for Outpatient 7,400 12 10 14,800
Dialysis.
Infection Preventionist/Microbiologist......... 57.504 Prevention Process Measures 1,730 12 60 20,760
Monthly Monitoring for Dialysis.
Infection Preventionist/Microbiologist......... 57.507 Home Dialysis Center Practices 550 1 65 596
Survey.
Infection Preventionist/Microbiologist......... 57.600 Neonatal Component Late Onset 5,500 12 2 2,200
Sepsis Meningitis (LOSMEN) Module FHIR/
CDA Digital Measure Reporting Plan--
Infection Preventionist.
Infection Preventionist/Microbiologist......... 57.601 Late Onset Sepsis/Meningitis 300 6 5 150
Denominator Form: Late Onset Sepsis/
Meningitis Denominator Form: Data
Table for monthly electronic upload.
Infection Preventionist/Microbiologist......... 57.602 Late Onset Sepsis/Meningitis 300 6 5 150
Event Form: Data Table for Monthly
Electronic Upload.
Infection Preventionist/Microbiologist......... 57.700 Medication Safety-Digital 5,500 1 5 458
Measure Reporting Plan (HYPO)--
Infection Preventionist.
Infection Preventionist/Microbiologist......... 57.701 Medication Safety Component-- 10 1 150 25
Annual Hospital Survey.
Registered Nurse............................... 57.800 Claims Data Upload.............. 5,500 12 5 5,500
Information Technology......................... 57.800 Claims Data--Initial IT Set-Up.. 5,500 1 45 4,125
Infection Preventionist/Microbiologist......... 57.800 Patient Safety Component Claims 5,500 1 30 2,750
Data Reporting Plan--IT Initial Set Up.
Epidemiologist................................. 57.801 External Validation Summary 20 2 15 10
Report.
Information Technology......................... 57.802 Bed Capacity--IT Initial Set Up. 25 1 20 8
Information Technology......................... 57.803 Daily Facility Operating Status. 3,826 730 5 232,748
Information Technology......................... 57.900 NHSN FHIR digital Quality 50 1 25 21
Measures (dQMs) Facility Technical
Assessment for NHSNLink UI.
Information Technology......................... 57.901 NHSNCoLab Pilot Site 21 1 25 9
Demographics.
Information Technology......................... 57.902 NHSNCoLab Pilot Site Technical 21 1 25 9
Assessment.
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Total...................................... ....................................... .............. .............. .............. 3,519,732
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Public Health
Ethics and Regulations, Office of Science, Centers for Disease Control
and Prevention.
[FR Doc. 2026-09434 Filed 5-11-26; 8:45 am]
BILLING CODE 4163-18-P

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