Healthcare System Stress Pulse Query

The Hospital Preparedness Program

OMB: 0990-0391

IC ID: 218648

Information Collection (IC) Details

View Information Collection (IC)

Healthcare System Stress Pulse Query
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0391 Major Incident-Specific Collection Pulse Survey 10-1-15.doc Yes Yes Fillable Fileable
Other-survey 0990-0391Ongoing Collection Pulse Survey 9-28-15.doc Yes Yes Fillable Fileable

Health Health Care Services

 

500 0
   
Private Sector Businesses or other for-profits
 
   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 3,000 0 3,000 0 0 0
Annual IC Time Burden (Hours) 833 0 833 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Healthcare System Stress Pulse Query 0990-0391 Pulse Survey-HPP Generic Clearance-OMB 10-2-15.doc 10/20/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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