NATIONAL HOSPITAL DISCHARGE SURVEY

ICR 198708-0937-001

OMB: 0937-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
112185
Migrated
ICR Details
0937-0004 198708-0937-001
Historical Active 198605-0937-003
HHS/OASH
NATIONAL HOSPITAL DISCHARGE SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 11/18/1987
Retrieve Notice of Action (NOA) 08/06/1987
  Inventory as of this Action Requested Previously Approved
11/30/1990 11/30/1990 07/31/1989
4,478,622 0 232,283
7,872 0 9,109
0 0 0

THE NATIONAL HOSPITAL DISCHARGE SURVEY PROVIDES DETAILED INFORMATION ON CHARACTERISTICS, DIAGNOSES, AND SURGICAL AND OTHER PROCEDURES FOR PATIENTS DISCHARGED FROM SHORT-STAY NON-FEDERAL HOSPITALS IN THE UNITE STATES. THE INFORMATION COLLECTED IS AVAILABLE IN WRITTEN REPORTS IN UNPUBLISHED FORM THROUGH STANDARDIZED INHOUSE TABULATIONS OR SPECIA TABULATIONS, AND ON PUBLIC USE TAPES.

None
None


No

1
IC Title Form No. Form Name
NATIONAL HOSPITAL DISCHARGE SURVEY

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,478,622 232,283 0 4,246,339 0 0
Annual Time Burden (Hours) 7,872 9,109 0 -1,237 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/06/1987


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