Reinterview Study 2021

National Hospital Ambulatory Medical Care Survey

OMB: 0920-0278

IC ID: 233076

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Reinterview Study 2021
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Reinterview Study 2021 Attachment L2 - Reinterview Study Questionnaire (2021).pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics (09-20-0167)  49 FR 37693

125 0
   
Private Sector 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 125 0 -2 0 0 127
Annual IC Time Burden (Hours) 31 0 -1 0 0 32
Annual IC Cost Burden (Dollars) 3,668 0 3,668 0 0 0

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