Pre-Hospital Quality of Care Data - Hospital Partners

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

OMB: 0920-1108

IC ID: 219128

Documents and Forms
Information Collection (IC) Details

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Pre-Hospital Quality of Care Data - Hospital Partners
 
No Removed
 
Voluntary
 

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

Health Health Care Services

 

78 0
   
Private Sector Businesses or other for-profits
 
   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 0 0 0 -312 0 312
Annual IC Time Burden (Hours) 0 0 0 -78 0 78
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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