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Pre-Hospital Stroke Systems of Care: Emergency Medical Service System (EMSS) Implementation Assessment 0920-0879-19BKU
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0879 Interview Guide Attachment B_Interview Guide.docx No   Fillable Fileable

Health Consumer Health and Safety

 

48 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 48 0 48 0 0 0
Annual IC Time Burden (Hours) 72 0 72 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Respondent Breakdown Attachment A_Respondent Breakdown.docx 07/05/2019
Recruitment Email Attachment C_Recruitment Email.docx 07/05/2019
Email Reminder Attachment D_Email Reminder.docx 07/05/2019
Confirmation Email Attachment E_Confirmation Email.docx 07/05/2019
Followup Email Attachment F_Followup Email.docx 07/05/2019
SSA STROKE-POL-SSA final.docx 07/05/2019
SSB STROKE-POL-SSB.docx 07/05/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.