Att Q_Recruitment Survey Presentation

National Hospital Care Survey

Documents and Forms

Document Name Document Type
Form 0920-0212 Att Q_Recruitment Survey Presentation Form and Instruction
0920-0212 National Hospital Care Survey Presentation For Hospital Att Q - Recruitment Survey Presentation.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Att Q_Recruitment Survey Presentation	Agency IC Tracking Number:	0920-0212

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0212	National Hospital Care Survey Presentation For Hospital Executive and Staff	Att Q - Recruitment Survey Presentation.docx		No		Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Health Resources Utilization Statistics	FR Citation: 49 FR 37693

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	-120	150
Annual IC Time Burden (Hours)	30	-106	136
Annual IC Cost Burden (Dollars)	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.