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57.132 - Patient Safety Digital Reporting Plan (RPS CSV)

IC 263449 under ICR 202502-0920-016 · OMB 0920-0666.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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57.132 - Patient Safety Digital Reporting Plan (RPS CSV) 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 57.132 Patient Safety Digital Reporting Plan (RPS CSV) 57.132 Respiratory Pathogens Surveillance (RPS)_New Data Table for CSV Submissions.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

5,500 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 2,007,500 0 0 0 0 2,007,500
Annual IC Time Burden (Hours) 66,917 0 0 0 0 66,917
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.