AIRS Hospital Discharge Reporting

Asthma Information Reporting System (AIRS)

OMB: 0920-0853

IC ID: 220723

Information Collection (IC) Details

View Information Collection (IC)

AIRS Hospital Discharge Reporting
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none AIRS Hospital Discharge Reporting Att3c AIRS HD Reporting Forms 20160317.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

23 0
   
State, Local, and Tribal Governments
 
   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 23 0 23 0 0 0
Annual IC Time Burden (Hours) 12 0 12 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
AIRS HD Reporting Instructions Att3d2 AIRS Instructions_HD_ED_HowtoDocSharing 20160317.docx 03/22/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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