Annual FSASC Interview

National Hospital Care Survey

OMB: 0920-0212

IC ID: 205648

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Annual FSASC Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Annual FSASC Interview Attachment P- FSASC Induction Form.docx Yes Yes Fillable Fileable

Health Immunization Management

Health Resources Utilization Statistics  49 FR 37693

250 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 125 0 125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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