Information Collection

Post-Hospital Transition of Care Data - PCNASP Awardee -other respondents

IC 236182 under ICR 202001-0920-002 · OMB 0920-1108.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Post-hospital data dictionary_010720_clean.docx	Other-Data elements

IC Title:

Post-Hospital Transition of Care Data - PCNASP Awardee -other respondents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Data elements			Post-hospital data dictionary_010720_clean.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	8	8
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	293	293

Documents for IC

table that charts IC Documents
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.