HCUP DUA Training

Online Application Order Form for Products from the Healthcare Cost and Utilization Project (HCUP)

OMB: 0935-0206

IC ID: 204301

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

View Information Collection (IC)

HCUP DUA Training
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Form #1 HCUP Data Use Agreement Training HCUP Data Use Agreement Training.docx Yes Yes Fillable Fileable
Form and Instruction 1 Online Application Order Form FIRST PAGE Online Application Order Form-Products from-HCUP 2019_v3.docx https://www.distributor.hcup-us.ahrq.gov/SpecialPages/Shoppingcart.aspx Yes Yes Fillable Fileable

Health Immunization Management

 

500 0
   
Private Sector Businesses or other for-profits, 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 0 0 -500 0 0 500
Annual IC Time Burden (Hours) 0 0 -250 0 0 250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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