Ambulatory Unit Induction Interview 2022

National Hospital Ambulatory Medical Care Survey

OMB: 0920-0278

IC ID: 241281

Information Collection (IC) Details

View Information Collection (IC)

Ambulatory Unit Induction Interview 2022 0920-22BT
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22BT Attachment E - Ambulatory Unit Induction Questionnaire (2022) Attachment E - Ambulatory Unit Induction Questionnaire (2022).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37693

820 0
   
Private Sector Businesses or other for-profits
 
   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 820 0 0 0 0 820
Annual IC Time Burden (Hours) 205 0 0 0 0 205
Annual IC Cost Burden (Dollars) 12,070 0 0 0 0 12,070

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