Facility staff Providing Estimated Patient Loads

Medical Monitoring Project

OMB: 0920-0740

IC ID: 180566

Documents and Forms
Document Name
Document Type
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Facility staff Providing Estimated Patient Loads
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment7_ Abstraction Manual.doc Yes Yes Printable Only

Health Public Health Monitoring

 

936 936
   
State, Local, and Tribal Governments
 
   95 %

  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 936 0 0 0 0 936
Annual IC Time Burden (Hours) 1,872 0 0 0 0 1,872
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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