Attachment B: Child HCAHPS Database Data Use Agreement

Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database

OMB: 0935-0243

IC ID: 235457

Information Collection (IC) Details

View Information Collection (IC)

Attachment B: Child HCAHPS Database Data Use Agreement
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2 Attachment B: Child HCAHPS Database Data Use Agreement Attachment B Data Use Agreement Draft.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

300 0
   
Private Sector Not-for-profit institutions, 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 300 0 0 0 300 0
Annual IC Time Burden (Hours) 15 0 0 0 15 0
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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