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Formative Research to Identify Common and Unique Barriers to the Exchange of Hospitalization and ED Data 0920-1154-19BEA
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable
Form none Yes Yes Fillable Fileable

Health Public Health Monitoring

 

52 0
   
State, Local, and Tribal Governments
 
   100 %

  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 52 0 52 0 0 0
Annual IC Time Burden (Hours) 113 0 113 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
genIC Request 07/29/2019
Survey Invitation 07/29/2019
Reminder Email 07/29/2019
Survey Closing Email 07/29/2019
Research Determination 07/29/2019
Supporting Statement A 07/29/2019
Supporting Statement B 07/29/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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