View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

NHDS Facility Questionaire Part A - D
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Att E Facility Questionnaire rev.101310.docx Yes Yes Fillable Printable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

167 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 167 0 11 0 0 156
Annual IC Time Burden (Hours) 668 0 603 0 0 65
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Att M FAQs about the NHDS 11032010 Att M FAQs about the NHDS 11032010.docx 01/05/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.