[Federal Register Volume 79, Number 173 (Monday, September 8, 2014)]
[Notices]
[Pages 53199-53201]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21257]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-14-0666]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) has submitted
the following information collection request to the Office of
Management and Budget (OMB) for review and approval in accordance with
the Paperwork Reduction Act of 1995. The notice for the proposed
information collection is published to obtain comments from the public
and affected agencies.
Written comments and suggestions from the public and affected
agencies concerning the proposed collection of information are
encouraged. Your comments should address any of the following: (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 or send an email to [email protected]. Written comments and/or
suggestions regarding the items contained in this notice should be
directed to the Attention: CDC Desk Officer, Office of Management and
Budget, Washington, DC 20503 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.
12/31/2015--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 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. The
data will be used to detect changes in the epidemiology of adverse
events resulting from new and current medical therapies and changing
risks. The NHSN currently consists of five components: Patient Safety,
Healthcare Personnel Safety, Biovigilance, Long-Term Care Facility
(LTCF), and Dialysis. Two new components will be added within the next
one to two years: Outpatient Procedure and Antimicrobial Use &
Resistance.
The Antimicrobial Use and Resistance (AUR) component will be
launched within NHSN that will specifically examine antimicrobial use
(AU) and antimicrobial resistance (AR) within healthcare facilities.
The goal of the AUR component is to provide a mechanism for facilities
to report and analyze antimicrobial use and/or resistance as part of
local or regional efforts to reduce antimicrobial resistant infections
through antimicrobial stewardship efforts or interruption of
transmission of resistant pathogens at their facility. This revision
submission includes one new form specific to the NHSN AUR component.
Significant additions were made to three NHSN facility surveys.
Questions about infection control practices were added to gain a better
understanding of current practices and identify areas to target
prevention efforts among facilities that have reported a multidrug-
resistant organism. Questions about antibiotic stewardship were added
to gain a better understanding of current efforts to improve antibiotic
use in hospitals and to assess the quality of hospital antibiotic
stewardship programs.
Additionally, minor revisions have been made to 31 other forms
within the package to clarify and/or update surveillance definitions.
Three forms are being removed as patient vaccination monitoring will be
removed from NHSN.
The previously approved NSHN package included 56 individual
collection forms; the current revision request adds one new form and
removes three forms for a total of 54 forms. The reporting burden will
increase by 172,943 hours, for a total of 4,277,716 hours.
Estimated Annualized Burden Hours
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Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hrs.)
----------------------------------------------------------------------------------------------------------------
Registered Nurse (Infection NHSN Registration Form..... 2,000 1 5/60
Preventionist).
Registered Nurse (Infection Facility Contact 2,000 1 10/60
Preventionist). Information.
Registered Nurse (Infection Patient Safety Component-- 6,000 1 50/60
Preventionist). Annual Hospital Survey.
[[Page 53200]]
Registered Nurse (Infection Group Contact Information.. 1,000 1 5/60
Preventionist).
Registered Nurse (Infection Patient Safety Monthly 6,000 12 15/60
Preventionist). Reporting Plan.
Registered Nurse (Infection Primary Bloodstream 6,000 44 30/60
Preventionist). Infection (BSI).
Registered Nurse (Infection Pneumonia (PNEU)........... 6,000 72 30/60
Preventionist).
Registered Nurse (Infection Ventilator-Associated Event 6,000 144 25/60
Preventionist).
Registered Nurse (Infection Urinary Tract Infection 6,000 40 30/60
Preventionist). (UTI).
Staff RN........................... Denominators for Neonatal 6,000 9 3
Intensive Care Unit (NICU).
Staff RN........................... Denominators for Specialty 6,000 9 5
Care Area (SCA)/Oncology
(ONC).
Staff RN........................... Denominators for Intensive 6,000 54 5
Care Unit (ICU)/Other
locations (not NICU or
SCA).
Registered Nurse (Infection Surgical Site Infection 6,000 36 35/60
Preventionist). (SSI).
Staff RN........................... Denominator for Procedure.. 6,000 540 5/60
Laboratory Technician.............. Antimicrobial Use and 6,000 12 5/60
Resistance (AUR)-
Microbiology Data
Electronic Upload
Specification Tables.
Pharmacy Technician................ Antimicrobial Use and 6,000 12 5/60
Resistance (AUR)-Pharmacy
Data Electronic Upload
Specification Tables.
Registered Nurse (Infection Central Line Insertion 1,000 100 5/60
Preventionist). Practices Adherence
Monitoring.
Registered Nurse (Infection MDRO or CDI Infection Form. 6,000 72 30/60
Preventionist).
Registered Nurse (Infection MDRO and CDI Prevention 6,000 24 15/60
Preventionist). Process and Outcome
Measures Monthly
Monitoring.
Registered Nurse (Infection Laboratory-identified MDRO 6,000 240 15/60
Preventionist). or CDI Event.
Registered Nurse (Infection Long-Term Care Facility 250 1 1
Preventionist). Component--Annual Facility
Survey.
Registered Nurse (Infection Laboratory-identified MDRO 250 8 15/60
Preventionist). or CDI Event for LTCF.
Registered Nurse (Infection MDRO and CDI Prevention 250 12 5/60
Preventionist). Process Measures Monthly
Monitoring for LTCF.
Registered Nurse (Infection Urinary Tract Infection 250 9 30/60
Preventionist). (UTI) for LTCF.
Registered Nurse (Infection Monthly Reporting Plan for 250 12 5/60
Preventionist). LTCF.
Registered Nurse (Infection Denominators for LTCF 250 12 3.25
Preventionist). Locations.
Registered Nurse (Infection Prevention Process Measures 250 12 5/60
Preventionist). Monthly Monitoring for
LTCF.
Registered Nurse (Infection LTAC Annual Survey......... 400 1 50/60
Preventionist).
Registered Nurse (Infection Rehab Annual Survey........ 1,000 1 50/60
Preventionist).
Registered Nurse (Infection Antimicrobial Use & 100 12 5/60
Preventionist). Resistance Component--
Monthly Reporting Plan.
Occupational Health RN/Specialist.. Healthcare Personnel Safety 50 1 8
Component Annual Facility
Survey.
Occupational Health RN/Specialist.. Healthcare Personnel Safety 11,000 1 5/60
Monthly Reporting Plan.
Occupational Health RN/Specialist.. Healthcare Worker 50 200 20/60
Demographic Data.
Occupational Health RN/Specialist.. Exposure to Blood/Body 50 50 1
Fluids.
Occupational Health RN/Specialist.. Healthcare Worker 50 30 15/60
Prophylaxis/Treatment.
Laboratory Technician.............. Follow-Up Laboratory 50 50 15/60
Testing.
Occupational Health RN/Specialist.. Healthcare Worker 50 50 10/60
Prophylaxis/Treatment-
Influenza.
Medical/Clinical Laboratory Hemovigilance Module Annual 500 1 2
Technologist. Survey.
Medical/Clinical Laboratory Hemovigilance Module 500 12 1/60
Technologist. Monthly Reporting Plan.
Medical/Clinical Laboratory Hemovigilance Module 500 12 1
Technologist. Monthly Reporting
Denominators.
Medical/Clinical Laboratory Hemovigilance Adverse 500 48 15/60
Technologist. Reaction.
Medical/Clinical Laboratory Hemovigilance Incident..... 500 10 10/60
Technologist.
Staff RN........................... Outpatient Procedure 5,000 1 5/60
Component--Annual Facility
Survey.
Staff RN........................... Outpatient Procedure 5,000 12 15/60
Component--Monthly
Reporting Plan.
Staff RN........................... Outpatient Procedure 5,000 25 40/60
Component Event.
Staff RN........................... Outpatient Procedure 5,000 12 40/60
Component--Monthly
Denominators and Summary.
Registered Nurse (Infection Outpatient Dialysis Center 6,500 1 1.75
Preventionist). Practices Survey.
Staff RN........................... Dialysis Monthly Reporting 6,500 12 5/60
Plan.
Staff RN........................... Dialysis Event............. 6,500 60 20/60
Staff RN........................... Denominators for Dialysis 6,500 12 6/60
Event Surveillance.
[[Page 53201]]
Staff RN........................... Prevention Process Measures 1,500 12 30/60
Monthly Monitoring for
Dialysis.
Staff RN........................... Dialysis Patient Influenza 325 75 10/60
Vaccination.
Staff RN........................... Dialysis Patient Influenza 325 5 10/60
Vaccination Denominator.
Epidemiologist..................... State Health Department 152 50 15/60
Validation Record.
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Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-21257 Filed 9-5-14; 8:45 am]
BILLING CODE 4163-18-P