ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Att. K. Patient Visit Log NHAMCS2010 Attachment K - NHAMCS-103.pdf Supplementary Document 06/08/2009 Att. Q. Emergency Dept. Instructions NHAMCS2010 Attachment Q - NHAMCS-122.pdf Supplementary Document 06/08/2009 Att. S. ASC Instruction Booklet NHAMCS2010 Attachment S - NHAMCS-126.pdf Supplementary Document 06/08/2009 Att. R. OPD Instruction Booklet NHAMCS2010 Attachment R - NHAMCS-123.pdf Supplementary Document 06/08/2009 Attachment E - Outpatient Dept Patient Record Form Pretest Attachment E - NHAMCS-100(OPD) -rev.pdf Supplementary Document 05/09/2011 Attachment F - ASC Patient Record Form Pretest Attachment F - NHAMCS-100(ASC)-revised.pdf Supplementary Document 05/09/2011 Attachment G - ED Patient Record Form Pretest Attachment G - NHAMCS-100(ED)-revised.pdf Supplementary Document 05/09/2011 Attachment H - Lookback Module Pretest Attachment H - NHAMCS-910 Lookback Module-revised.pdf Supplementary Document 05/09/2011 Justification for Change NHAMCS Justification for change - pretes t050211.docx Justification for No Material/Nonsubstantive Change 05/09/2011 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received