Ambulatory Unit Induction Interview 2018

National Hospital Ambulatory Medical Care Survey

OMB: 0920-0278

IC ID: 214300

Information Collection (IC) Details

View Information Collection (IC)

Ambulatory Unit Induction Interview 2018
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Ambulatory Unit Induction Interview Attachment I - Ambulatory Unit Induction Interview 060118.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37693

578 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 578 0 0 0 0 578
Annual IC Time Burden (Hours) 145 0 0 0 0 145
Annual IC Cost Burden (Dollars) 6,872 0 0 0 0 6,872

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

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