View Information Collection (IC)

View Information Collection (IC)

Hospital-Based Victim Services Frame Development Project 0920-1030-19ALS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1030 Telephone Script Attachment B - NSHVS Telephone Script 040319.docx No   Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

4,800 0
   
Private Sector Businesses or other for-profits
 
   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 4,800 0 4,800 0 0 0
Annual IC Time Burden (Hours) 1,200 0 1,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA NSHVS Project - GenIC Statement A 040319 ICRO.doc 04/17/2019
Cognitive Testing Report Attachment A - NSHVS Cognitive Testing Final Report 12202018 (OMB).pdf 04/17/2019
Follow-up Non-response Letter Attachment C - NSHVS Follow-up non-responsive letter 040319 ICRO.docx 04/17/2019
Expert Panel List Attachment D - List of expert panel meeting attendees 12202018 (OMB).docx 04/17/2019
HS Determination Attachment E - Signed Human Subjects Determination Form.pdf 04/17/2019
Part B NSHVS Project Supporting Statement B 072919 Rev.doc 08/05/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.