Form Approved
OMB No. 0920-08AB
Exp. Date xx/xx/20xx
Future
(Form D of Adult Discharge Audit)
1. Were any barriers identified that affected case ascertainment? Explain
2. Will additional hospitals be included for active surveillance in the future? Explain
Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-08AB)
| File Type | application/msword |
| File Title | Attachment 7: Future |
| Author | Administrator |
| Last Modified By | Administrator |
| File Modified | 2008-02-04 |
| File Created | 2007-10-18 |