Hospitals (excluding Psychiatric and Rehabilitation Hospitals)

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

OMB: 0990-0478

IC ID: 251157

Information Collection (IC) Details

View Information Collection (IC)

Hospitals (excluding Psychiatric and Rehabilitation Hospitals)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-portal 0990-0478 U.S. Healthcare COVID-19 Portal _ New Entry - 29Nov21.pdf Yes Yes Fillable Fileable
Other-portal New-Entry-Guidance Updates_Final.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,200 0
   
Individuals or Households
 
   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 1,898,000 0 0 0 0 1,898,000
Annual IC Time Burden (Hours) 2,087,800 0 -284,700 0 0 2,372,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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