Agency Forms Undergoing Paperwork Reduction Act Review, 59313-59315 [2020-20760]
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Federal Register / Vol. 85, No. 183 / Monday, September 21, 2020 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day–20–20LW]
jbell on DSKJLSW7X2PROD with NOTICES
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)
Coronavirus (COVID–19) Surveillance
in Healthcare Facilities, 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 April 16,
2020 to obtain comments from the
public and affected agencies. CDC has
received six comments 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 www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection by selecting
VerDate Sep<11>2014
19:59 Sep 18, 2020
Jkt 250001
‘‘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) Coronavirus (COVID–19)
Surveillance in Healthcare Facilities—
New—National Center for Emerging and
Zoonotic Infectious 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. NHSN is a public health
surveillance system that collects,
analyzes, reports, and makes available
data for monitoring, measuring, and
responding to healthcare associated
infections (HAIs), antimicrobial use and
resistance, blood transfusion safety
events, and the extent to which
healthcare facilities adhere to infection
prevention practices and antimicrobial
stewardship.
On March 11, 2020, the World Health
Organization declared COVID–19 a
pandemic, and the President of the
United States (U.S.) proclaimed the
outbreak a national emergency on
March 13, 2020. As rates of infection
continue to rise across the U.S.,
healthcare facilities and public health
departments are facing significant strain
on patient care and infection prevention
efforts.
In response to the COVID–19
pandemic, NHSN has planned and
introduced new COVID–19 modules in
the Patient Safety Component, Longterm Care and Dialysis Components that
enable hospitals, long-term care
facilities and ambulatory hemodialysis
facilities to report daily COVID–19
patient counts to NHSN, and NHSN in
turn will enable state and local health
departments to gain immediate access to
the COVID–19 data reported by
healthcare facilities in their
jurisdictions via existing NHSN groups.
NHSN’s role as a shared platform for
HAI surveillance provides a valuable
foundation for COVID–19 surveillance.
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59313
This information is used to inform the
overall real-time COVID–19 response
efforts and possible resource allocation,
including an understanding of cases that
are community-acquired versus
healthcare-associated. CDC and health
departments alike will use this
surveillance data to prioritize the
allocation of resources and response
efforts.
The COVID–19 Module in the Patient
Safety Component was used for daily
reporting by approximately 60% of the
nation’s hospitals from late March until
July 15th, 2020. The July 13, 2020 HHS
Guidance for Hospital Reporting and
FAQ removed NHSN as a reporting
option for hospitals to continue
fulfilling the HHS and White House
requested COVID–19 data reporting.
NHSN released the COVID–19
Module in the existing NHSN Long
Term Care (LTC) Component on April
27, 2020, to collect data from long term
care facilities (LTCFs) on confirmed and
suspected resident COVID–19 cases and
deaths, number of beds and access to
testing, staff and personnel shortages
and cases of COVID–19 and deaths,
personal protective equipment
availability, and ventilator availability.
As with the initial data collection tool
approved under Emergency OMB
Control No. 0920–1290, facility-level
data collected through NHSN as part of
the COVID–19 modules are being made
available to a broader set of federal,
state, and local agency data users than
data typically collected by NHSN.
Specifically, COVID–19 data at the state,
county, territory, and facility level
submitted to NHSN will continue to be
used for public health emergency
response activities by CDC’s emergency
COVID–19 response, by the U.S.
Department of Health and Human
Services’ (HHS) COVID–19 tracking
system maintained in the Office of the
Assistant Secretary of Preparedness and
Response as part of the National
Response Coordination Center at the
Federal Emergency Management Agency
(FEMA), and by the White House
Coronavirus Task Force.
COVID–19 poses an unprecedented
threat to older populations living in
long-term care facilities, as well as
healthcare and non-healthcare workers
taking care of these residents and their
homes. Examples of LTCFs include
nursing homes, chronic care facilities
for the developmentally disabled,
skilled nursing facilities, and assisted
living facilities. As rates of infection and
resulting mortality across LTCFs
continue to rise across the nation,
LTCFs are facing significant barriers in
facility capacity, staffing, and supplies,
such as personal protective equipment.
E:\FR\FM\21SEN1.SGM
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Federal Register / Vol. 85, No. 183 / Monday, September 21, 2020 / Notices
These barriers pose significant risk of
COVID–19 transmission and infections.
Understanding the facilitators and
barriers that impact these vulnerable
populations is critical to the effective
pandemic response across LTCFs.
The objectives of the data collection
are to: (1) Determine the impact of
COVID–19 among residents and facility
workers, including morbidity and
mortality (2) determine the nursing
home capacity for housing suspected
and confirmed cases, including in-house
testing abilities; (3) identify staffing
shortages among care givers and other
facility personnel; (4) identify personal
protective availability in the facility;
and (5) to identify the availability and
use of mechanical ventilators in LTCF
with ventilator dependent units.
In support of filling the gaps in
COVID–19 data from nursing homes, the
Centers for Medicare and Medicaid
Services (CMS) and CDC are partnering
in an unprecedented data coordination
effort with U.S. nursing homes to help
fight COVID–19. On May 8, 2020, CMS
published an Interim Final Rule with
Comment Period that requires nursing
homes to report cases of COVID–19
directly to CDC via NHSN. CMS also
requires nursing homes to fully
cooperate with CDC surveillance efforts
around COVID–19 spread and will make
the data publicly available. Failure to
report a case of COVID–19 or persons
under investigation (PUI), may result in
an enforcement action. CMS is now
requiring LTCFs report at a minimum
the following data to NHSN no less than
weekly:
(1) Facility name, address and CMS
Certification Number;
(2) Number of beds in the facility;
(3) Current census of the facility;
(4) Number of current residents who
are confirmed cases;
(5) Number of current residents who
are suspected cases; and
(6) Number of deaths among residents
who are either confirmed COVID–19
cases or suspected COVID–19 cases.
(7) Number of staff with suspected
and confirmed COVID–19.
(8) Staffing shortages.
(9) PPE shortages.
CMS introduced this reporting
requirement for national surveillance of
COVID–19 in nursing homes. Long-term
care facilities are primarily responsible
for ensuring, in real time, they have
adequate staffing and are taking
measures to mitigate any infectious
disease occurrences among residents or
staff. CMS’ role is to hold facilities
accountable for the care they provide to
their residents. CMS is also providing
technical assistance to nursing homes
through a variety of mechanisms based
on needs identified via this data
collection. Finally, the associated
enforcement is focused on ensuring
facilities report their data to NHSN in
order inform CDC, FEMA, the White
House Coronavirus Task Force, and
public health departments at all levels
of the magnitude of the pandemic, as
well as resource allocation and medical
capacity in nursing homes.
In Fall 2020, NHSN plans to release
a COVID–19 Dialysis Module in the
existing NHSN Dialysis Component.
This Module will be used to collect
voluntarily-reported data from
ambulatory hemodialysis facilities on
confirmed and suspected patient
COVID–19 cases and deaths, staff and
personnel shortages and cases of
COVID–19 and deaths, personal
protective equipment availability, and
access to diagnostic testing. As with the
LTC Module, facility-level data
collected through NHSN as part of the
COVID–19 Modules are being made
available to a broader set of federal,
state, and local agency data users than
data typically collected by NHSN.
Specifically, COVID–19 data at the state,
county, territory, and facility level
submitted to NHSN will continue to be
used for public health emergency
response activities by CDC’s emergency
COVID–19 response, by the U.S.
Department of Health and Human
Services’ (HHS) COVID–19 tracking
system maintained in the Office of the
Assistant Secretary of Preparedness and
Response as part of the National
Response Coordination Center at the
Federal Emergency Management Agency
(FEMA), and by the White House
Coronavirus Task Force. There will be
no cost to respondents other than their
time to complete the COVID–19 Module
data fields on a weekly basis.
ESTIMATED ANNUALIZED BURDEN HOURS
Form name
LTCF personnel ......................
NHSN and Secure Access Management Services (SAMS)
enrollment.
COVID–19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form (57.144).
COVID–19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form (57.144).
COVID–19 Module, Long Term Care Facility: Resident Impact and Facility Capacity form (57.144).
COVID–19 Module, Long Term Care Facility Resident Impact and Facility Capacity form (57.144) (retrospective
data entry).
COVID–19 Module, Long Term Care Facility Resident Impact and Facility Capacity form (57.144) (retrospective
data entry).
COVID–19 Module, Long Term Care Facility Resident Impact and Facility Capacity form (57.144) (retrospective
data entry).
COVID–19 Module, Long Term Care Facility: Staff and Personnel Impact form (57.145).
COVID–19 Module, Long Term Care Facility: Staff and Personnel Impact form (57.145).
COVID–19 Module, Long Term Care Facility: Staff and Personnel Impact form (57.145).
COVID–19 Module, Long Term Care Facility Staff and Personnel Impact form (57.145) (retrospective data entry).
LTCF personnel ......................
Business and financial operations occupations.
State and local health department occupations.
LTCF personnel ......................
Business and financial operations occupations.
State and local health department occupations.
jbell on DSKJLSW7X2PROD with NOTICES
Number of
respondents
Type of respondents
LTCF personnel ......................
Business and financial operations occupations.
State and local health department occupations.
LTCF personnel ......................
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Sfmt 4703
Number of
responses per
respondent
Average
burden per
response
(in hours)
11,500
1
60/60
11,621
52
40/60
1,870
52
40/60
1,870
52
40/60
5,811
1
40/60
935
1
40/60
935
1
40/60
11,621
52
15/60
1,870
52
15/60
1,870
52
15/60
5,811
1
15/60
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59315
Federal Register / Vol. 85, No. 183 / Monday, September 21, 2020 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Form name
Business and financial operations occupations.
State and local health department occupations.
LTCF personnel ......................
COVID–19 Module, Long Term Care Facility Staff and Personnel Impact form (57.145) (retrospective data entry).
COVID–19 Module, Long Term Care Facility Staff and Personnel Impact form (57.145) (retrospective data entry).
COVID–19 Module, Long Term Care Facility: Supplies &
Personal Protective Equipment form (57.146).
COVID–19 Module, Long Term Care Facility: Supplies &
Personal Protective Equipment form (57.146).
COVID–19 Module, Long Term Care Facility: Supplies &
Personal Protective Equipment form (57.146).
COVID–19 Module, Long Term Care Facility: Ventilator Capacity & Supplies form (57.147).
COVID–19 Module, Long Term Care Facility: Ventilator Capacity & Supplies form (57.147).
COVID–19 Module, Long Term Care Facility: Ventilator Capacity & Supplies form (57.147).
COVID–19 Dialysis Component Form ...................................
Business and financial operations occupations.
State and local health department occupations.
LTCF personnel ......................
Business and financial operations occupations.
State and local health department occupations.
Microbiologist (IP) ...................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2020–20760 Filed 9–18–20; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30Day–20–0138]
Agency Forms Undergoing Paperwork
Reduction Act Review
jbell on DSKJLSW7X2PROD with NOTICES
Number of
respondents
Type of respondents
In accordance with the Paperwork
Reduction Act of 1995, the Centers for
Disease Control and Prevention (CDC)
has submitted the information
collection request titled Pulmonary
Function Testing Course Approval
Program 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 June 2,
2020 to obtain comments from the
public and affected agencies. CDC
received one non-substantial 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
VerDate Sep<11>2014
19:59 Sep 18, 2020
Jkt 250001
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 www.reginfo.gov/public/
do/PRAMain. 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.
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
Number of
responses per
respondent
Average
burden per
response
(in hours)
935
1
15/60
935
1
15/60
11,621
52
15/60
1,870
52
15/60
1,870
52
15/60
11,621
52
5/60
1,870
52
5/60
1,870
52
5/60
4,900
104
20/60
Proposed Project
Pulmonary Function Testing Course
Approval Program. (OMB Control No.
0920–0138, Exp. 11/30/2020)—
Revision—National Institute for
Occupational Safety and Health
(NIOSH), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
NIOSH has the responsibility under
the Occupational Safety and Health
Administration’s Cotton Dust Standard,
29 CFR 1920.1043, for approving
courses to train technicians to perform
pulmonary function testing in the cotton
industry. Successful completion of a
NIOSH-approved course is mandatory
under this Standard. In addition,
regulations at 42 CFR 37.95(a) specify
that persons administering spirometry
tests for the national Coal Workers
‘Health Surveillance Program must
successfully complete a NIOSHapproved spirometry training course
and maintain a valid certificate by
periodically completing NIOSHapproved spirometry refresher training
courses. Also, 29 CFR
1910.1053(i)(2)(iv), 29 CFR
1910.1053(i)(3), 29 CFR
1926.1153(h)(2)(iv) and 29 CFR
1926.1153(h)(3) specify that pulmonary
function tests for initial and periodic
examinations in general industry and
construction performed under the
respirable crystalline silica standard
should be administered by a spirometry
technician with a current certificate
from a NIOSH-approved spirometry
course. NIOSH is requesting a three-year
approval.
To carry out its responsibility, NIOSH
maintains a Pulmonary Function
E:\FR\FM\21SEN1.SGM
21SEN1
]]>Agencies
[Federal Register Volume 85, Number 183 (Monday, September 21, 2020)]
[Notices]
[Pages 59313-59315]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-20760]
[[Page 59313]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30 Day-20-20LW]
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)
Coronavirus (COVID-19) Surveillance in Healthcare Facilities, 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 April 16, 2020 to obtain
comments from the public and affected agencies. CDC has received six
comments 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 www.reginfo.gov/public/do/PRAMain. 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) Coronavirus (COVID-19)
Surveillance in Healthcare Facilities--New--National Center for
Emerging and Zoonotic Infectious 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. NHSN is a public health surveillance system
that collects, analyzes, reports, and makes available data for
monitoring, measuring, and responding to healthcare associated
infections (HAIs), antimicrobial use and resistance, blood transfusion
safety events, and the extent to which healthcare facilities adhere to
infection prevention practices and antimicrobial stewardship.
On March 11, 2020, the World Health Organization declared COVID-19
a pandemic, and the President of the United States (U.S.) proclaimed
the outbreak a national emergency on March 13, 2020. As rates of
infection continue to rise across the U.S., healthcare facilities and
public health departments are facing significant strain on patient care
and infection prevention efforts.
In response to the COVID-19 pandemic, NHSN has planned and
introduced new COVID-19 modules in the Patient Safety Component, Long-
term Care and Dialysis Components that enable hospitals, long-term care
facilities and ambulatory hemodialysis facilities to report daily
COVID-19 patient counts to NHSN, and NHSN in turn will enable state and
local health departments to gain immediate access to the COVID-19 data
reported by healthcare facilities in their jurisdictions via existing
NHSN groups. NHSN's role as a shared platform for HAI surveillance
provides a valuable foundation for COVID-19 surveillance. This
information is used to inform the overall real-time COVID-19 response
efforts and possible resource allocation, including an understanding of
cases that are community-acquired versus healthcare-associated. CDC and
health departments alike will use this surveillance data to prioritize
the allocation of resources and response efforts.
The COVID-19 Module in the Patient Safety Component was used for
daily reporting by approximately 60% of the nation's hospitals from
late March until July 15th, 2020. The July 13, 2020 HHS Guidance for
Hospital Reporting and FAQ removed NHSN as a reporting option for
hospitals to continue fulfilling the HHS and White House requested
COVID-19 data reporting.
NHSN released the COVID-19 Module in the existing NHSN Long Term
Care (LTC) Component on April 27, 2020, to collect data from long term
care facilities (LTCFs) on confirmed and suspected resident COVID-19
cases and deaths, number of beds and access to testing, staff and
personnel shortages and cases of COVID-19 and deaths, personal
protective equipment availability, and ventilator availability. As with
the initial data collection tool approved under Emergency OMB Control
No. 0920-1290, facility-level data collected through NHSN as part of
the COVID-19 modules are being made available to a broader set of
federal, state, and local agency data users than data typically
collected by NHSN. Specifically, COVID-19 data at the state, county,
territory, and facility level submitted to NHSN will continue to be
used for public health emergency response activities by CDC's emergency
COVID-19 response, by the U.S. Department of Health and Human Services'
(HHS) COVID-19 tracking system maintained in the Office of the
Assistant Secretary of Preparedness and Response as part of the
National Response Coordination Center at the Federal Emergency
Management Agency (FEMA), and by the White House Coronavirus Task
Force.
COVID-19 poses an unprecedented threat to older populations living
in long-term care facilities, as well as healthcare and non-healthcare
workers taking care of these residents and their homes. Examples of
LTCFs include nursing homes, chronic care facilities for the
developmentally disabled, skilled nursing facilities, and assisted
living facilities. As rates of infection and resulting mortality across
LTCFs continue to rise across the nation, LTCFs are facing significant
barriers in facility capacity, staffing, and supplies, such as personal
protective equipment.
[[Page 59314]]
These barriers pose significant risk of COVID-19 transmission and
infections. Understanding the facilitators and barriers that impact
these vulnerable populations is critical to the effective pandemic
response across LTCFs.
The objectives of the data collection are to: (1) Determine the
impact of COVID-19 among residents and facility workers, including
morbidity and mortality (2) determine the nursing home capacity for
housing suspected and confirmed cases, including in-house testing
abilities; (3) identify staffing shortages among care givers and other
facility personnel; (4) identify personal protective availability in
the facility; and (5) to identify the availability and use of
mechanical ventilators in LTCF with ventilator dependent units.
In support of filling the gaps in COVID-19 data from nursing homes,
the Centers for Medicare and Medicaid Services (CMS) and CDC are
partnering in an unprecedented data coordination effort with U.S.
nursing homes to help fight COVID-19. On May 8, 2020, CMS published an
Interim Final Rule with Comment Period that requires nursing homes to
report cases of COVID-19 directly to CDC via NHSN. CMS also requires
nursing homes to fully cooperate with CDC surveillance efforts around
COVID-19 spread and will make the data publicly available. Failure to
report a case of COVID-19 or persons under investigation (PUI), may
result in an enforcement action. CMS is now requiring LTCFs report at a
minimum the following data to NHSN no less than weekly:
(1) Facility name, address and CMS Certification Number;
(2) Number of beds in the facility;
(3) Current census of the facility;
(4) Number of current residents who are confirmed cases;
(5) Number of current residents who are suspected cases; and
(6) Number of deaths among residents who are either confirmed
COVID-19 cases or suspected COVID-19 cases.
(7) Number of staff with suspected and confirmed COVID-19.
(8) Staffing shortages.
(9) PPE shortages.
CMS introduced this reporting requirement for national surveillance
of COVID-19 in nursing homes. Long-term care facilities are primarily
responsible for ensuring, in real time, they have adequate staffing and
are taking measures to mitigate any infectious disease occurrences
among residents or staff. CMS' role is to hold facilities accountable
for the care they provide to their residents. CMS is also providing
technical assistance to nursing homes through a variety of mechanisms
based on needs identified via this data collection. Finally, the
associated enforcement is focused on ensuring facilities report their
data to NHSN in order inform CDC, FEMA, the White House Coronavirus
Task Force, and public health departments at all levels of the
magnitude of the pandemic, as well as resource allocation and medical
capacity in nursing homes.
In Fall 2020, NHSN plans to release a COVID-19 Dialysis Module in
the existing NHSN Dialysis Component. This Module will be used to
collect voluntarily-reported data from ambulatory hemodialysis
facilities on confirmed and suspected patient COVID-19 cases and
deaths, staff and personnel shortages and cases of COVID-19 and deaths,
personal protective equipment availability, and access to diagnostic
testing. As with the LTC Module, facility-level data collected through
NHSN as part of the COVID-19 Modules are being made available to a
broader set of federal, state, and local agency data users than data
typically collected by NHSN. Specifically, COVID-19 data at the state,
county, territory, and facility level submitted to NHSN will continue
to be used for public health emergency response activities by CDC's
emergency COVID-19 response, by the U.S. Department of Health and Human
Services' (HHS) COVID-19 tracking system maintained in the Office of
the Assistant Secretary of Preparedness and Response as part of the
National Response Coordination Center at the Federal Emergency
Management Agency (FEMA), and by the White House Coronavirus Task
Force. There will be no cost to respondents other than their time to
complete the COVID-19 Module data fields on a weekly basis.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondents Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
LTCF personnel..................... NHSN and Secure Access 11,500 1 60/60
Management Services (SAMS)
enrollment.
LTCF personnel..................... COVID-19 Module, Long Term 11,621 52 40/60
Care Facility: Resident
Impact and Facility
Capacity form (57.144).
Business and financial operations COVID-19 Module, Long Term 1,870 52 40/60
occupations. Care Facility: Resident
Impact and Facility
Capacity form (57.144).
State and local health department COVID-19 Module, Long Term 1,870 52 40/60
occupations. Care Facility: Resident
Impact and Facility
Capacity form (57.144).
LTCF personnel..................... COVID-19 Module, Long Term 5,811 1 40/60
Care Facility Resident
Impact and Facility
Capacity form (57.144)
(retrospective data entry).
Business and financial operations COVID-19 Module, Long Term 935 1 40/60
occupations. Care Facility Resident
Impact and Facility
Capacity form (57.144)
(retrospective data entry).
State and local health department COVID-19 Module, Long Term 935 1 40/60
occupations. Care Facility Resident
Impact and Facility
Capacity form (57.144)
(retrospective data entry).
LTCF personnel..................... COVID-19 Module, Long Term 11,621 52 15/60
Care Facility: Staff and
Personnel Impact form
(57.145).
Business and financial operations COVID-19 Module, Long Term 1,870 52 15/60
occupations. Care Facility: Staff and
Personnel Impact form
(57.145).
State and local health department COVID-19 Module, Long Term 1,870 52 15/60
occupations. Care Facility: Staff and
Personnel Impact form
(57.145).
LTCF personnel..................... COVID-19 Module, Long Term 5,811 1 15/60
Care Facility Staff and
Personnel Impact form
(57.145) (retrospective
data entry).
[[Page 59315]]
Business and financial operations COVID-19 Module, Long Term 935 1 15/60
occupations. Care Facility Staff and
Personnel Impact form
(57.145) (retrospective
data entry).
State and local health department COVID-19 Module, Long Term 935 1 15/60
occupations. Care Facility Staff and
Personnel Impact form
(57.145) (retrospective
data entry).
LTCF personnel..................... COVID-19 Module, Long Term 11,621 52 15/60
Care Facility: Supplies &
Personal Protective
Equipment form (57.146).
Business and financial operations COVID-19 Module, Long Term 1,870 52 15/60
occupations. Care Facility: Supplies &
Personal Protective
Equipment form (57.146).
State and local health department COVID-19 Module, Long Term 1,870 52 15/60
occupations. Care Facility: Supplies &
Personal Protective
Equipment form (57.146).
LTCF personnel..................... COVID-19 Module, Long Term 11,621 52 5/60
Care Facility: Ventilator
Capacity & Supplies form
(57.147).
Business and financial operations COVID-19 Module, Long Term 1,870 52 5/60
occupations. Care Facility: Ventilator
Capacity & Supplies form
(57.147).
State and local health department COVID-19 Module, Long Term 1,870 52 5/60
occupations. Care Facility: Ventilator
Capacity & Supplies form
(57.147).
Microbiologist (IP)................ COVID-19 Dialysis Component 4,900 104 20/60
Form.
----------------------------------------------------------------------------------------------------------------
Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2020-20760 Filed 9-18-20; 8:45 am]
BILLING CODE 4163-18-P
