Submission of Information for the HOP QDRP - Chart Abstraction

Submission of Information for the Hospital Outpatient Quality Data Program

OMB: 0938-1044

IC ID: 183592

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Submission of Information for the HOP QDRP - Chart Abstraction
 
No Modified
 
Voluntary
 
42 CFR 419.43(h)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

3,500 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested 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 14,000 14,000 0 0 0 0
Annual IC Time Burden (Hours) 900,000 900,000 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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