One-Month Patient Follow-up Telephone Call

Pilot Test of an Emergency Department (ED) Discharge Tool

OMB: 0935-0217

IC ID: 210532

Information Collection (IC) Details

View Information Collection (IC)

One-Month Patient Follow-up Telephone Call
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 One-Month Patient Follow-up Telephone Call Attachment C - One-Month Patient Follow-up Phone Call 2013.12.13.docx Yes Yes Paper Only

Health Immunization Management

 

900 0
   
Private Sector 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 900 0 900 0 0 0
Annual IC Time Burden (Hours) 150 0 150 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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