Positive Pressure Ventilation Survey

ASPR Assessment of Mechanical Ventilators in US Acute Care Hospitals

Documents and Forms

Document Name Document Type
Form 1 Positive Pressure Ventilation Survey Form and Instruction
1 Positive Pressure Ventilation Survey Vent Survey Instrument _OMB 8.26.2009.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Positive Pressure Ventilation Survey	Agency IC Tracking Number:

Is this a Common Form?		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Positive Pressure Ventilation Survey	Vent Survey Instrument _OMB 8.26.2009.doc		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,678	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,678	5,678
Annual IC Time Burden (Hours)	7,098	7,098
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.