NHDS - Pretest Sample Listing Sheet

National Hospital Discharge Survey

OMB: 0920-0212

IC ID: 186288

Information Collection (IC) Details

View Information Collection (IC)

NHDS - Pretest Sample Listing Sheet
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Pretest Sample Listing Sheet Attachment J Pretest Sampling listing sheet redesign.doc No No Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

10 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment L - Pretest Patient Abstraction Form Attachment L PATIENT ABSTRACT June 25 08.doc 07/24/2008
Cover sheet for abstraction form Attachment L cover with burden.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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