Information Collection

57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)

IC 183556 under ICR 201603-0920-007 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Document Name Document Type
Form CDC 57.117 57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC) Form
CDC 57.117 Denominators for Specialty Care Area (SCA) Oncology (ONC 57.117_DenominatorSCA_BLANK.docx Form
Att G7_Denominators for Patient Safety Component.pdf Att G7_Denominators for Patient Safety Component IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC 57.117	Denominators for Specialty Care Area (SCA) Oncology (ONC)	57.117_DenominatorSCA_BLANK.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	54,000	54,000
Annual IC Time Burden (Hours)	270,000	270,000
Annual IC Cost Burden (Dollars)	8,449,600	8,449,600

Documents for IC

Title	Document	Date Uploaded
Att G7_Denominators for Patient Safety Component	Att G7_Denominators for Patient Safety Component.pdf	09/09/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.