Information Collection Request

Unified Hospital Data Surveillance System (U.S. Healthcare COVID-19 Collection)

ICR 202207-0990-007 · OMB 0990-0478 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Hospital Reporting Guidance_10AUG_final.pdf Supplementary Document Uploaded 2022-08-10 Repair queued
0990-0478 Final Signed Memo - Unified Hospital Data Surveillance System COVID-19 Reporting Changes - 00464150.pdf Supplementary Document Uploaded 2022-01-05 Repair queued
SS-A Change Memo for HHS-USDHSS_Final.docx Supporting Statement A Uploaded 2022-08-10 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
251157 Hospitals (excluding Psychiatric and Rehabilitation Hospitals) Other-portal Modified
251022 Infusion Centers and Outpatient Clinics reporting Inventory & use of therapeutics (MABs) Other-PORTAL Removed
251021 Psychiatric and Rehabilitation Hospitals Other- Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
6 Months From Approved 08/31/2022
1,898,870 1,960,400
2,088,757 2,429,700
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,898,870 1,960,400 0 -61,530 0 0
Annual Time Burden (Hours) 2,088,757 2,429,700 0 -340,943 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No