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

View Information Collection (IC)

Annual Hospital Interview (Revised) 0920-0212-20RX
 
No Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920 Annual Hospital Interview (revised) Att A - 2020 Annual Hospital Interview (Revised).docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

598 0
   
Private Sector Businesses or other for-profits
 
   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 0 0 0 -598 0 598
Annual IC Time Burden (Hours) 0 0 0 -1,196 0 1,196
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.