Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
AIRS Emergency Department Visits Reporting	Removed	0	0	0	Form	0920-0853	STATE [Year] Emergency Department Data
AIRS Hospital Discharge Reporting	Removed	0	0	0	Form	0920-0853	STATE [Year] Hospital Discharge Data
AIRS Performance Measures Reporting	Removed	0	0	0	Form	0920-0853	AIRS Performance Measure A. Health Care Reform Opportunities
Analysis and Use of Core Data Sets	New	90	105	0	Form and Instruction	0920-0853	Performance Measures Reporting Tool
					Form and Instruction	0920-0853	Emergency Department Visits Reporting Form
					Form and Instruction	0920-0853	Hospital Discharge Reporting Form
Total burden requested under this ICR:		90	105	0
To view an IC, click on IC Title