Information Collection

Hospital Inventory Data - PCNASP Awardee

IC 219135 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⚠️ Notice: This information collection may be referencing outdated material.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
Hospital Inventory Data - PCNASP Awardee	Form and Instruction
PCNASP Hospital Inventory Data Elements - Awardee Report Attachment 5b_Hospital inventory data_awardee_032416.xlsx	Form and Instruction

IC Title:

Hospital Inventory 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 Hospital Inventory Data Elements - Awardee Reporting Tool	Attachment 5b_Hospital inventory data_awardee_032416.xlsx	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	9	9
Annual IC Time Burden (Hours)	72	72
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.