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57.403 Outpatient Procedure Component - Monthly Denominators and Summary

IC 208407 under ICR 202502-0920-016 · OMB 0920-0666.

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57.403 Outpatient Procedure Component - Monthly Denominators and Summary 0920-0666
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC 57.403 Outpatient Procedure - Monthly Denominators and Summary 57.403 Outpatient Monthly Denominators for Same Day Outcome Measures-Clean Version.docx Yes Yes Fillable Fileable

Health Health Care Services

 

50 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 20,000 0 0 0 0 20,000
Annual IC Time Burden (Hours) 6,667 0 0 0 0 6,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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