Information Collection

Hospital Inventory Data - Hospital Partners

IC 219130 under ICR 202408-0920-015 · OMB 0920-1108.

Documents and Forms

Document Name Document Type
Form 0920-1108 Hospital Inventory Data - Hospital Partners Form
0920-1108 Hospital Inventory Data Elements Attachment 5a_Hospital inventory data elements_Hospitals.docx Form
0920-1108 Hospital Inventory Data Elements Attachment 5a_Hospital inventory data elements_Hospitals.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hospital Inventory Data - Hospital Partners	Agency IC Tracking Number:	0920-1108

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	0920-1108	Hospital Inventory Data Elements	Attachment 5a_Hospital inventory data elements_Hospitals.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 650	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	650	0	650
Annual IC Time Burden (Hours)	325	0	325
Annual IC Cost Burden (Dollars)	0	-11,492	11,492

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.