OMB control number

Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System

OMB 0920-1108 · HHS/CDC.

OMB 0920-1108

The CDC's Paul Coverdell National Acute Stroke Program (PCNASP) seeks to improve quality of care for acute stroke patients through systematic approaches to quality improvement. CDC will work with selected state health departments to collect data and improve quality of care throughout the 3 phases of the stroke continuum of care: (1) pre-hospital care, (2) in-hospital care, and (3) post-discharge care. Information on infrastructure and hospital capacity will also be collected. This Non-Substantive Change Request will involve minor modifications to approved In-Hospital Data Elements. The Change Request does not require the collection of new or additional primary data, as the primary data are already available to awardees via their electronic health record (EHR) systems, and results in four additional administrative Data Elements reported to CDC, with no change in burden.

The latest form for Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System expires 2027-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-1108 Hospital Inventory Data - Hospital Partners Form
Attachment 8_Screenshot SAMS web portal.pdf Supplementary Document
Attachment 7_IRB Approval 2024.pdf Supplementary Document
Attachment 3_Strategies_Measures.pdf Supplementary Document
Attachment 2_LogicModel.pdf Supplementary Document
Attachment 1_Section 317 Public Health Service Act.pdf Supplementary Document
30_Day_FRN_Template_July2024_IV.docx Justification for No Material/Nonsubstantive Change
OMB Change Request Coverdell_Final.pdf Justification for No Material/Nonsubstantive Change
Attachment 7_PCNASP_privacy_narrative_2020 rk ca.pdf Supplementary Document
Attachment 13_Data Burden Excerpt.docx Supplementary Document
Attachment 12_Table Shell of PM Report.pdf Supplementary Document
Attachment 11c_Crosswalk of hospital inventory changes_Clean.xlsx Supplementary Document
Attachment 11b_Crosswalk of in hospital changes_Clean.xlsx Supplementary Document
Attachment 11a_Crosswalk of pre hospital changes_Clean.xlsx Supplementary Document
Attachment 10_Collection transmission diagram.docx Supplementary Document
Attachment 9_Screenshot SAMS web portal.pdf Supplementary Document
Attachment 8_IRB Approval memo.docx Supplementary Document
Attachment 6_Copy of Published 60 Day FRN.pdf Supplementary Document
Attachment 3_Crosswalk _Measures.docx Supplementary Document
Attachment 2_PCNASP NOFO 2021-Logic Model.pdf Supplementary Document
Attachment 1_Section 317 Public Health Service Act.pdf Supplementary Document
PCNASP SSB.docx Supporting Statement B
PCNASP SSA_F.docx Supporting Statement A
Pre-Hospital Care Data - PCNASP Awardee -EMS respondents Other-Data elements
Hospital Inventory Data - PCNASP Awardee Other-Data elements
In-Hospital Quality of Care Data - PCNASP Awardee Other-Data elements
Pre-Hospital Care Data - PCNASP Awardee - hospital respondents Other-Manual
Hospital Inventory Data - Hospital Partners Form

All Historical Document Collections

202408-0920-015	Extension without change of a currently approved collection	2024-09-11
202201-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2022-01-18
202104-0920-006 Approved without change	Revision of a currently approved collection	2021-04-27
202001-0920-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-01-13
201905-0920-010 Approved without change	Reinstatement with change of a previously approved collection	2019-06-21
201511-0920-008 Approved with change	New collection (Request for a new OMB Control Number)	2015-12-03

OMB Details

Hospital Inventory Data - Hospital Partners

Federal Enterprise Architecture: Health - Health Care Services

Form 0920-1108

Hospital Inventory Data Elements

Fillable Fileable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.