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 0920-0853
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0853 STATE [Year] Hospital Discharge Data Att3c_AIRS HD Reporting Forms.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

25 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 25 0 2 0 0 23
Annual IC Time Burden (Hours) 13 0 1 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att 3d1_Instructions How to Complete the 2014 for HD ED Data Spreadsheet Template Att3d1_AIRS Instructions_HD_ED_Data_clean.docx 04/04/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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