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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Abstraction and Reabstraction for the ACS module of the NHDS
Modified
33
8
0
Other-Word
MHDS - 2010 & 2011 Survey Presentation to Hospitals
Removed
0
0
0
Other-2010 & 2011 Survey Presentation to Hospitals
NHDS - 2010 & 2011 Facility Questionnaire
Removed
0
0
0
Other-Facility Questionnaire
NHDS - 2010 & 2011 Sample listing sheet
Removed
0
0
0
Other-2010 & 2011 Sample listing sheet
NHDS - 2010 & 2011 Verify Sampling and Reabstract
Removed
0
0
0
Other-2010 & 2011 Verify Sample and Reabstraction
NHDS - Pretest Debrief Hospital Staff Guide
Removed
0
0
0
Other-Pretest Debrief Hospital Staff Guide
NHDS - Pretest Facility Questionnaire
Removed
0
0
0
Other-Pretest Facililty Questionnaire
NHDS - Pretest Sample Listing Sheet
Removed
0
0
0
Other-Pretest Sample Listing Sheet
NHDS - Pretest Survey Presentation
Removed
0
0
0
Other-Survey Presentation for Pretest
NHDS - Pretest Verify Sampling and Reabstract
Removed
0
0
0
Other-Pretest Verify Sampling and Reabstract
NHDS Facility Questionaire Part A - D
Modified
167
668
0
Other-WORD
NHDS Survey Presentation
Modified
167
167
0
Other-Word
NHDS Survey Presentation for the ACS (Interview w/Hospital Executive and Staff)
Modified
11
11
0
Other-Word
Post Induction - Facility Questionnaire (Part D)
Modified
333
666
0
Other-WORD
Quarterly Transmission of UB -04 Data
Modified
2000
2000
0
Other-WORD
Total burden requested under this ICR:
2711
3520
0
To view an IC, click on IC Title