Online Application Order Form for Products from the Healthcare Cost and Utilization Project (HCUP)

OMB 0935-0206

OMB 0935-0206

To support AHRQ's mission to improve health care through scientific research, HCUP databases and software tools are disseminated to users outside of the Agency through a mechanism known as the HCUP Central Distributor. The HCUP Central Distributor assists qualified researchers to access uniform research data across multiple states with the use of one application process. The HCUP databases disseminated through the Central distributor are referred to as "restricted access public release files"; that is, they are publicly available, but only under restricted conditions. This information collection request is for the activities associated with the HCUP database application process not the collection of health care data for HCUP databases.

The latest form for Online Application Order Form for Products from the Healthcare Cost and Utilization Project (HCUP) expires 2022-05-31 and can be found here.

OMB Details

HCUP Application Form

Federal Enterprise Architecture: Health - Consumer Health and Safety

Form Form #1Attachment A -- Online Application Order Form for Products Fillable FileableForm and instruction

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