Hospital Staff

HAvBed Assessment for 2009-H1N1 Influenza Serious Illness

OMB: 0990-0344

IC ID: 190407

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

View Information Collection (IC)

Hospital Staff
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-Attachment 1 For HAVBED emergency submssion.doc No No Paper Only

Health Illness Prevention

 

6,170 0
   
Individuals or Households
 
   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 6,170 0 6,170 0 0 0
Annual IC Time Burden (Hours) 6,170 0 6,170 0 0 0
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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