Information Collection

Addition Of Uniform Hospital Discharge Data Set Items To Hospital Discharge Survey

IC 112179 under ICR 197801-0937-002 · OMB 0937-0004.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	ADDITION OF UNIFORM HOSPITAL DISCHARGE DATA SET ITEMS TO HOSPITAL DISCHARGE SURVEY	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HSM88-1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 220,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	220,000	-15,000	235,000
Annual IC Time Burden (Hours)	14,667	-1,000	15,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.