Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
VALIDATION PILOT FOR THE AHRQ PATIENT SAFETY INDICATORS PHASE II New 2700 2845 0 Form and Instruction Form #1 Interest form
Form Form #3 Foreign body left during procedure abstraction tool
Form and Instruction Form #2 Participant survey
Form Form #4 Postoperative hemorrhage or hematoma abstraction tool
Form Form #5 Postoperative physiologic & metabolic derangement abstraction tool
Form Form #6 Postoperative respiratory failure abstraction tool
Form Form #7 Postoperative wound dehiscence abstraction tool
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 2700 2845 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title