Hospital Campaign Activity Scorecard

National Hospital Organ Donation Campaign's Activity Scorecard

OMB: 0915-0373

IC ID: 209057

Information Collection (IC) Details

View Information Collection (IC)

Hospital Campaign Activity Scorecard
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 FINALCleanChallengeScorecard FINALCleanChallengeScorecard.docx Yes Yes Fillable Fileable
Other-Redline Current Approved ChallengeScorecard (REDLINED).docx Yes Yes Fillable Fileable
Other-REDLINE 20180907 OMB Hospital Campaign Challenge Scorecard REDLINE.docx Yes Yes Fillable Fileable
Form and Instruction 2 OMB Hospital Campaign Challenge Scorecard CLEAN.docx OMB Hospital Campaign Challenge Scorecard CLEAN.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,250 500
   
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 1,250 0 0 0 0 1,250
Annual IC Time Burden (Hours) 459 0 0 0 0 459
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
0373 Hospital Campaign Change Memo CLEAN 0373 Hospital Campaign Change Memo CLEAN.docx 09/26/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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