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 is listed under ICR 202408-0920-015.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
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

Historical document collections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

OMB Details

Hospital Inventory Data - Hospital Partners

Federal Enterprise Architecture: Health - Health Care Services

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1108	Hospital Inventory Data Elements	Fillable Fileable	Form

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