NHDS - 2010 & 2011 Facility Questionnaire

National Hospital Discharge Survey

OMB: 0920-0212

IC ID: 186292

Documents and Forms
Document Name
Document Type
Other-Facility Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

NHDS - 2010 & 2011 Facility Questionnaire
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Facility Questionnaire Attachment N National Survey Facility Questionnaire .doc No No Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

80 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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 320 0 320 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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