Pretest for the Ambulatory Surgery SOPS

Pretest of the Ambulatory Surgery/Procedure Survey on Patient Safety Culture

OMB: 0935-0216

IC ID: 208863

Information Collection (IC) Details

View Information Collection (IC)

Pretest for the Ambulatory Surgery SOPS
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form # 2 Ambulatory Surgery SOPS Attachment B - Ambulatory Surgery SOPS.docx Yes Yes Paper Only

Health Immunization Management

 

529 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 529 0 529 0 0 0
Annual IC Time Burden (Hours) 132 0 132 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment D - Pretest Cover Letter and Reminder Notice for Survey Attachment D - Pretest Cover Letter and Reminder Notice for Survey.docx 09/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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