ICR Documents

Supporting Statement A Document Date Uploaded 0920-0212 SS A 013015.docx 02/19/2015 Supporting Statement B Document Date Uploaded 0920-0212 SS B 013015.docx 02/18/2015 Supplementary Documents Title Document Document Type Date Uploaded Authorizing Legislation Att A - Legislative Authority.rtf Supplementary Document 02/18/2015 Published 60-day FRN Att B - Federal Register Notice for NHCS.pdf Supplementary Document 02/18/2015 Data Collection Flow Chart Att C - NHCS Data Collection Flow Chart.docx Supplementary Document 02/18/2015 Introductory Letter to Hospitals Att D - Introductory Letter to Hospitals.docx Supplementary Document 02/18/2015 Amb Intro Letter to Hospitals Att E - Amb Intro Letter to Hosp EDs OPDs.docx Supplementary Document 02/18/2015 Westat Data Security Plan Att L - Westat Data Security Plan.pdf Supplementary Document 02/18/2015 ERB Approval Letter Att M- ERB Approval Notice.pdf Supplementary Document 02/18/2015 Sample ER Patient Record Form Att Q - Emer Depart Patient Record Form.docx Supplementary Document 02/18/2015 Sample OP Dept Patient Record Form Att R - OP Depart Patient Record Form.docx Supplementary Document 02/18/2015 FAQ Brochure Att S - NHCS FAQ Brochure.pdf Supplementary Document 02/18/2015 Crosswalk Changes - Annual Amb Hosp Interview Att T - Hosp Amb Interview Changes.docx Supplementary Document 02/18/2015 Crosswalk Changes - ED Patient Record Form Att U - ED PRF Changes.docx Supplementary Document 02/18/2015 Crosswalk Changes Outpatient Dept PRF Att V - OPD PRF Changes.docx Supplementary Document 02/18/2015 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received