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Hospital Inventory Data - Hospital Partners
Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System
OMB: 0920-1108
IC ID: 219130
OMB.report
HHS/CDC
OMB 0920-1108
ICR 202408-0920-015
IC 219130
( )
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
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
650
0
0
0
0
650
Annual IC Time Burden (Hours)
325
0
0
0
0
325
Annual IC Cost Burden (Dollars)
0
0
-11,492
0
0
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.
