Hospital Induction Interview

National Hospital Ambulatory Medical Care Survey

OMB: 0920-0278

IC ID: 214297

Information Collection (IC) Details

View Information Collection (IC)

Hospital Induction Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0278 Attachment A - 2016 NHAMCS Hospital Induction Questionnaire - Electronic Health Record Question Changes Attachment A - 2016 NHAMCS Hospital Induction Questionnaire - Electronic Health Record Question Changes.pdf Yes Yes Fillable Printable
Instruction Attachment E - 2016 NHAMCS Induction Questions.pdf Yes Yes Fillable Printable

Health Public Health Monitoring

Health Resources Utilization Statistics (09-20-0167)  49 FR 37693

458 0
   
Private Sector Not-for-profit institutions, 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 458 0 0 0 0 458
Annual IC Time Burden (Hours) 573 0 -114 0 0 687
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