NHDS - Medical abstract form

National Hospital Discharge Survey

OMB: 0920-0212

IC ID: 6666

Documents and Forms
Document Name
Document Type
Other-Medical Abstract Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

NHDS - Medical abstract form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Medical Abstract Form Attachment G 1 HDS abstract form.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 3,250 0 -44,275 0 0 47,525
Annual IC Time Burden (Hours) 271 0 -2,137 0 0 2,408
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover sheet for Medical Abstract Form Attachment G1 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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