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Minimum Data Elements (MDE) Data Definition Table

IC 250030 under ICR 202501-0920-002 · OMB 0920-1046.

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Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
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Minimum Data Elements (MDE) Data Definition Table 0920-1046
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1046 Minimum Data Elements (MDE) Data Definition Table Att 9 - MDE Data Definitions.pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

71 0
   
State, Local, and Tribal Governments
 
   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 142 0 2 0 0 140
Annual IC Time Burden (Hours) 355 0 5 0 0 350
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Control Header and Burden Statement OMB Control Header and Burden Statement.docx 01/13/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.