Information Collection

57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)

IC 183556 under ICR 202010-0920-016 · OMB 0920-0666.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0666 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC 57.117 57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)	Form
CDC 57.117 Denominators for Specialty Care Area (SCA)/Oncology (ONC 57.117_DenominatorSCA_BLANK.docx	Form
8. Denominators for Patient Safety Component.pdf Att G8_Denominators for Patient Safety Component	IC Document

IC Title:

57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)

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
Form	CDC 57.117	Denominators for Specialty Care Area (SCA)/Oncology (ONC)	57.117_DenominatorSCA_BLANK.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,000	4,020	1,980
Annual IC Time Burden (Hours)	500	-9,895	10,395
Annual IC Cost Burden (Dollars)	977,400	654,858	322,542

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att G8_Denominators for Patient Safety Component	8. Denominators for Patient Safety Component.pdf	09/25/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.