Baseline needs assessment

Avoiding Readmissions in Hospitals Serving Diverse Patients

OMB: 0935-0173

IC ID: 194749

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Baseline needs assessment
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #1 Baseline Needs Assessment Guide Attachment C -- Baseline Needs Assessment Guide.docx Yes Yes Paper Only

Health Consumer Health and Safety

 

10 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 10 0 10 0 0 0
Annual IC Time Burden (Hours) 80 0 80 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.

© 2024 OMB.report | Privacy Policy