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Prevalence Of Alcohol And Other Drug Abuse And Dependence In Short-term General Hospitals And The Impact Of Abuse And Dependence On Hospital Utilization, Charges, And Costs

IC 111756 under ICR 199309-0925-002 · OMB 0925-0410.

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IC Title:

PREVALENCE OF ALCOHOL AND OTHER DRUG ABUSE AND DEPENDENCE IN SHORT-TERM GENERAL HOSPITALS AND THE IMPACT OF ABUSE AND DEPENDENCE ON HOSPITAL UTILIZATION, CHARGES, AND COSTS

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,593

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,333	15,333
Annual IC Time Burden (Hours)	5,184	5,184
Annual IC Cost Burden (Dollars)	0	0

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