Pre-Hospital Quality of Care Data - Hospital Partners

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1108 can be found here:

Documents and Forms

Document Name Document Type
Pre-Hospital Quality of Care Data - Hospital Partners Form and Instruction
PCNASP Pre-Hospital Data Elements Attachment 4a_Pre-hospital data elements.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Pre-Hospital Quality of Care Data - Hospital Partners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

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 and Instruction	NA	PCNASP Pre-Hospital Data Elements	Attachment 4a_Pre-hospital data elements.docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 78	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-312	312
Annual IC Time Burden (Hours)	-78	78
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.