Cover sheet for in-house transmittal notice

Attachment G 5 Cover.doc

National Hospital Discharge Survey

Cover sheet for in-house transmittal notice

OMB: 0920-0212

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ATTACHMENT G 5


TRANSMITTAL NOTICE FOR AUTOMATED DATA

CURRENT NHDS



The statement below will be shown on the form when it is reprinted.


OMB No. 0920-0212: Approval expires 08/31/2008

Notice - Public reporting burden for this collection of information is estimated to average 13 minutes per response, including 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 burden to: CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road, MS D-24, Atlanta, GA 30333, ATTN: PRA (0920-0212).


Assurances of Confidentiality –All information which would permit identification of any individual, a practice, or an establishment will be held confidential, will be used only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or the establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347).



File Typeapplication/msword
File TitleATTACHMENT G 5
AuthorChristine Lucas
Last Modified Bymxm3
File Modified2008-07-23
File Created2008-07-23

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