Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Inventory Data - Hospital Partners Modified 378 189 6683 Other-Data elements
Hospital Inventory Data - PCNASP Awardee Modified 9 72 2639 Other-Data elements
In-Hospital Quality of Care Data - PCNASP Awardee Modified 36 18 660 Other-Data elements
Post-Hospital Quality of Care Data - Hospital Partners Removed 0 0 0 Form and Instruction NA
Post-Hospital Transition of Care Data - PCNASP Awardee - hospital respondents Modified 28 14 513 Other-Data elements
Post-Hospital Transition of Care Data - PCNASP Awardee -other respondents New 8 8 293 Other-Data elements
Pre-Hospital Care Data - PCNASP Awardee - hospital respondents Modified 8 4 147 Other-Data elements
Pre-Hospital Care Data - PCNASP Awardee -EMS respondents New 28 56 2052 Other-Data elements
Pre-Hospital Quality of Care Data - Hospital Partners Removed 0 0 0 Form and Instruction NA
Total burden requested under this ICR: 495 361 12987  
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