PCORFIT Telephone Script

National Hospital Care Survey

Documents and Forms

Document Name Document Type
Attachment B - PCORTF Telephone Script 04_08_20.docx Other-WORD
Attachment B - PCORTF Telephone Script 04_08_20.docx Other-WORD

Information Collection (IC) Details

IC Title:	PCORFIT Telephone Script	Agency IC Tracking Number:	0920-0212-20LO

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
Other-WORD			Attachment B - PCORTF Telephone Script 04_08_20.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-25	25
Annual IC Time Burden (Hours)	-13	13
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.