NHDS - Primary Procedure Hospitals Sample Listing Sheet

National Hospital Discharge Survey

OMB: 0920-0212

IC ID: 186281

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

NHDS - Primary Procedure Hospitals Sample Listing Sheet
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Primary Procedures Hospitals Sampling Listing Sheet Attachment G 2 HDS sample listing sheet.pdf No No Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

13 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved 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 156 0 156 0 0 0
Annual IC Time Burden (Hours) 65 0 65 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment G2 - cover sheet for hospitals sample listing sheet Attachment G 2 Cover.doc 07/24/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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