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 Department of Health and Human Services Centers for Disease Control and Prevention [30-Day-11-0666]
 The Centers for Disease Control and Prevention (CDC) publishes a list of information collection requests under review by the Office of Management and Budget (OMB) in compliance with the Paperwork Reduction Act (44 U.S.C. Chapter 35). To request a copy of these requests, call the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail to 
                    *omb@cdc.gov.*
                     Send written comments to CDC Desk Officer, Office of Management and Budget, Washington, DC 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. 3/31/2012)—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 to 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. Healthcare institutions that participate in NHSN voluntarily report their data to CDC using a web browser based technology for data entry and data management. Data are collected by trained surveillance personnel using written standardized protocols. The data will be used to detect changes in the epidemiology of adverse events resulting from new and current medical therapies and changing risks. This revision submission includes an amended Assurance of Confidentiality, which required an update of the Assurance of Confidentiality language on all forms included in the NHSN surveillance system. The scope of NHSN dialysis surveillance is being expanded to include all outpatient dialysis centers so that the existing Dialysis Annual Survey can be used to facilitate prevention objectives set forth in the HHS HAI tier 2 Action Plan and to assess national practices in all Medicare-certified dialysis centers if CMS re-establishes this survey method (as expected). The Patient Safety (PS) Component is being expanded to include long term care facilities to facilitate HAI surveillance in this setting, for which no standardized reporting methodology or mechanism currently exists. Four new forms are proposed for this purpose. A new form is proposed to be added to the Healthcare Personnel Safety (HPS) Component to facilitate summary reporting of influenza vaccination in healthcare workers, which is anticipated to be required by CMS in the near future. In addition to this new form, the scope of the HPS Annual Facility Survey is being expanded to include all acute care facilities that would enroll if CMS does implement this requirement. The NHSN Antimicrobial Use and Resistance module is transitioning from manual web entry to electronic data upload only, which results in a significant decrease to the reporting burden for this package. Finally, there are many updates, clarifications, and data collection revisions proposed in this submission. CDC is requesting to delete four currently approved forms that are no longer needed by the NHSN and add five new forms The previously-approved NHSN package included 47 individual data collection forms. If all proposed revisions are approved, the reporting burden will decrease by 1,258,119 hours, for a total estimated burden of 3,914,125 hours and 48 total data collection tools. Participating institutions must have a computer capable of supporting an Internet service provider (ISP) and access to an ISP. There is no cost to respondents other than their time. The total estimated annual burden hours are 3,914,125.
                    ( print page 12120) Estimate of Annualized Burden Hours
Respondents
Form name
Number of
                             respondents
Responses
                             per respondent
Burden per
                             response 
                             (hours)Infection Preventionist
NHSN Registration Form
6,000
1
5/60Facility Contact Information
6,000
1
10/60Patient Safety Component—Annual Facility Survey
6,000
1
40/60Patient Safety Component—Outpatient Dialysis Center Practices Survey
5,500
1
1Group Contact Information
6,000
1
5/60Patient Safety Monthly Reporting Plan
6,000
9
35/60Primary Bloodstream Infection (BSI)
6,000
36
32/60Dialysis Event
500
75
15/60Pneumonia (PNEU)
6,000
72
32/60Urinary Tract Infection (UTI)
6,000
27
32/60Staff RN
Denominators for Neonatal Intensive Care Unit (NICU)
6,000
9
4Denominators for Specialty Care Area (SCA)
6,000
9
5Denominators for Intensive Care Unit (ICU)/Other locations (not NICU or SCA)
6,000
18
5Staff RN
Denominator for Outpatient Dialysis
500
12
5/60Infection Preventionist
Surgical Site Infection (SSI)
6,000
27
32/60Staff RN
Denominator for Procedure
6,000
540
10/60Laboratory Technician
Antimicrobial Use and Resistance (AUR)-Microbiology Data Electronic Upload Specification Tables
6,000
12
5/60Pharmacy Technician
Antimicrobial Use and Resistance (AUR)-Pharmacy Data Electronic Upload Specification Tables
6,000
12
5/60Infection Preventionist
Central Line Insertion Practices Adherence Monitoring
6,000
100
5/60MDRO or CDI Infection Form
6,000
72
32/60MDRO and CDI Prevention Process and Outcome Measures Monthly Monitoring
6,000
24
10/60Laboratory-identified MDRO or CDI Event
6,000
240
25/60Vaccination Monthly Monitoring Form—Summary Method
6,000
5
14Vaccination Monthly Monitoring Form—Patient-Level Method
2,000
5
2Patient Vaccination
2,000
250
10/60Patient Safety Component—Annual Facility Survey for LTCF
250
1
25/60Laboratory-identified MDRO or CDI Event for LTCF
250
8
30/60MDRO and CDI Prevention Process Measures Monthly Monitoring for LTCF
250
3
7/60Urinary Tract Infection (UTI) for LTCF
250
9
30/60Occ Health RN
Healthcare Personnel Safety Component Annual Facility Survey
6,000
1
8Healthcare Worker Survey
600
100
10/60Healthcare Personnel Safety Monthly Reporting Plan
600
9
10/60Healthcare Worker Demographic Data
600
200
20/60Exposure to Blood/Body Fluids
600
50
1Healthcare Worker Prophylaxis/Treatment
600
10
15/60Laboratory Technician
Follow-Up Laboratory Testing
600
100
15/60Occ Health RN
Healthcare Worker Vaccination History
600
300
10/60Occ Health RN
Healthcare Worker Influenza Vaccination
600
500
10/60Healthcare Worker Prophylaxis/Treatment-Influenza
600
50
10/60Pre-season Survey on Influenza Vaccination Programs for Healthcare Personnel
600
1
10/60Post-season Survey on Influenza Vaccination Programs for Healthcare Personnel
600
1
10/60Healthcare Personnel Influenza Vaccination Monthly Summary
6,000
6
2Clinical Laboratory Technologist
Hemovigilance Module Annual Survey
500
1
2Hemovigilance Module Monthly Reporting Plan
500
12
2/60Hemovigilance Module Monthly Incident Summary
500
12
2Hemovigilance Module Monthly Reporting Denominators
500
12
30/60Hemovigilance Adverse Reaction
500
120
10/60Hemovigilance Incident
500
72
10/60
 Dated: February 25, 2011. Catina Conner, Acting Reports Clearance Officer, Centers for Disease Control and Prevention.


[FR Doc. 2011-4946 Filed 3-3-11; 8:45 am] BILLING CODE 4163-18-P