57.503 Denominators for Outpatient Dialysis

[NCEZID] The National Healthcare Safety Network (NHSN)

OMB: 0920-0666

IC ID: 183560

Information Collection (IC) Details

View Information Collection (IC)

57.503 Denominators for Outpatient Dialysis 0920-0666
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC 57.503 Demominators for Dialysis Event Surveillance 57.503 Denominator for Outpatient Dialysis-Clean Form.docx Yes Yes Fillable Fileable

Health Health Care Services

 

7,400 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 177,600 0 0 0 0 177,600
Annual IC Time Burden (Hours) 29,600 0 0 0 0 29,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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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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