Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AIRS Emergency Department Visits Reporting Modified 25 13 0 Form 0920-0853 STATE [Year] Emergency Department Data
AIRS Hospital Discharge Reporting Modified 25 13 0 Form 0920-0853 STATE [Year] Hospital Discharge Data
AIRS Performance Measures Reporting Modified 25 63 0 Form 0920-0853 AIRS Performance Measure A. Health Care Reform Opportunities
Total burden requested under this ICR: 75 89 0  
To view an IC, click on IC Title