57.500 Outpatient Dialysis Center Practices Survey

[NCEZID] The National Healthcare Safety Network (NHSN)

OMB: 0920-0666

IC ID: 183544

Information Collection (IC) Details

View Information Collection (IC)

57.500 Outpatient Dialysis Center Practices Survey 0920-0666
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 57.500 Home Dialysis Center Practices Survey 57.500 Home Survey 2022_Final.docx NA Yes Yes Fillable Fileable

Health Health Care Services

 

7,400 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 7,400 0 0 0 0 7,400
Annual IC Time Burden (Hours) 1,480 0 0 0 0 1,480
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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