OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Unified Hospital Data Surveillance System (U.S. Healthcare COVID-19 Collection)

OMB 0990-0478 · HHS/HHSDM.

OMB 0990-0478

Latest Forms, Documents, and Supporting Material

Document Name
Hospital Reporting Guidance_10AUG_final.pdf Supplementary Document
0990-0478 Final Signed Memo - Unified Hospital Data Surveillance System COVID-19 Reporting Changes - 00464150.pdf Supplementary Document
SS-A Change Memo for HHS-USDHSS_Final.docx Supporting Statement A
Hospitals (excluding Psychiatric and Rehabilitation Hospitals) Other-portal
Infusion Centers and Outpatient Clinics reporting Inventory & use of therapeutics (MABs) Other-PORTAL
Psychiatric and Rehabilitation Hospitals Other-

All Historical Document Collections

202207-0990-007 Approved without change	Revision of a currently approved collection	2022-08-12
202201-0990-001 Approved with change	Revision of a currently approved collection	2022-01-14
202101-0990-002 Approved with change	Existing collection in use without an OMB Control Number	2021-01-22