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Federal forms, ICRs, and supporting documents

Information Collection

Hospital Induction Interview 2022

IC 233075 under ICR 202201-0920-017 · OMB 0920-0278.

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

View Information Collection (IC)

Hospital Induction Interview 2022 0920-22BT
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NA 2021 NHAMCS Hospital Induction Questionnaire Attachment C3 - Induction questionnaire (2021) 08.19.2020.docx NA Yes Yes Fillable Fileable
Form and Instruction 0920-22BT Attachment D - Hospital Induction Questionnaire (2022) Attachment D - Hospital Induction Questionnaire (2022).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics (09-20-0167)  49 FR 37693

410 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 410 0 0 0 0 410
Annual IC Time Burden (Hours) 205 0 0 0 0 205
Annual IC Cost Burden (Dollars) 24,063 0 0 0 0 24,063

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