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Federal forms, ICRs, and supporting documents

Information Collection

In-Hospital Quality of Care Data - PCNASP Awardee

IC 219132 under ICR 202408-0920-015 · OMB 0920-1108.

Documents and Forms
Document Name
Document Type
Other-Data elements
Other-Data elements
Other-In-Hospital Data Elements
Other-In-Hospital Data Elements
Information Collection (IC) Details

View Information Collection (IC)

In-Hospital Quality of Care Data - PCNASP Awardee
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data elements Attachment 4b_In-hospital data elements_Clean.docx Yes Yes Fillable Fileable
Other-In-Hospital Data Elements Coverdell Data Manual_E1_Pending Approval Admin Elements.pdf NA Yes Yes Fillable Fileable

Health Health Care Services

 

13 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 52 0 0 0 0 52
Annual IC Time Burden (Hours) 26 0 0 0 0 26
Annual IC Cost Burden (Dollars) 0 0 -953 0 0 953

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.