ED Discharge Overdose data (quarterly reporting)

[NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE)

OMB: 0920-1268

IC ID: 236482

Information Collection (IC) Details

View Information Collection (IC)

ED Discharge Overdose data (quarterly reporting)
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None ED Discharge Overdose Data Form Att E - ED_discharge overdose_Hosp_2.8.22.xlsx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

28 0
   
State, Local, and Tribal Governments
 
   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 0 -112 0 112
Annual IC Time Burden (Hours) 0 0 0 -336 0 336
Annual IC Cost Burden (Dollars) 0 0 0 -10,036 0 10,036

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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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