Information Collection

Post-Hospital Quality of Care Data - PCNASP Awardee

IC 219134 under ICR 201511-0920-008 · OMB 0920-1108.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1108 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Post-Hospital Quality of Care Data - PCNASP Awardee	Form and Instruction
PCNASP Post-Hospital Transition of Care Data Elements Attachment 4c_Post-hospital transition of care data elements.docx	Form and Instruction

IC Title:

Post-Hospital Quality of Care Data - PCNASP Awardee

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	PCNASP Post-Hospital Transition of Care Data Elements	Attachment 4c_Post-hospital transition of care data elements.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.