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Entering information into medical record
Report of a Hospital Dealth Associated with Restraint or Seclusion (CMS-10455)
OMB: 0938-1210
IC ID: 255603
OMB.report
HHS/CMS
OMB 0938-1210
ICR 202208-0938-022
IC 255603
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Entering information into medical record
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
42 CFR 482 Section 13(g)(3)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Automated Survey Processing Environment (ASPEN)
FR Citation:
71 FR 29644
Number of Respondents:
3,975
Number of Respondents for Small Entity:
3,975
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
3,975
0
3,975
0
0
0
Annual IC Time Burden (Hours)
316
0
316
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.