Hospital Inventory Data - Hospital Partners

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

Documents and Forms

Document Name Document Type
Attachment 5a_Hospital inventory data elements_Hospitals.docx Other-Data elements
Attachment 5a_Hospital inventory data elements_Hospitals.docx Other-Data elements

Information Collection (IC) Details

IC Title:	Hospital Inventory Data - Hospital Partners	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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-Data elements			Attachment 5a_Hospital inventory data elements_Hospitals.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 650	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	650	650
Annual IC Time Burden (Hours)	325	325
Annual IC Cost Burden (Dollars)	11,492	11,492

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.