HCPCS Alcohol and Drug Screening and Brief Intervention Survey

States’ adoption of Healthcare Common Procedure Coding System codes (H0049) and (H0050) and assessment of support provided by the Centers for Medicare & Medicaid Services

OMB: 3201-0015

IC ID: 185449

Information Collection (IC) Details

View Information Collection (IC)

HCPCS Alcohol and Drug Screening and Brief Intervention Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 HCPCS Alcohol and Drug Screening and Brief Intervention Survey HCPCS Survey - Final - ROCIS submission -- June 2008.doc No   Paper Only

Community and Social Services Social Services

 

51 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 51 0 51 0 0 0
Annual IC Time Burden (Hours) 9 0 9 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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