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Facility staff Providing Estimated Patient Loads
Medical Monitoring Project
OMB: 0920-0740
IC ID: 180566
OMB.report
HHS/CDC
OMB 0920-0740
ICR 201107-0920-002
IC 180566
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0740 can be found here:
2024-04-11 - Revision of a currently approved collection
2021-03-26 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Attachment7_ Abstraction Manual.doc
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Facility staff Providing Estimated Patient Loads
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Instruction
Attachment7_ Abstraction Manual.doc
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
936
Number of Respondents for Small Entity:
936
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
95 %
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
936
0
0
0
0
936
Annual IC Time Burden (Hours)
1,872
0
0
0
0
1,872
Annual IC Cost Burden (Dollars)
0
0
0
0
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.