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In-Hospital Quality of Care Data - PCNASP Awardee
Paul Coverdell National Acute Stroke Program (PCNASP) Reporting System
OMB: 0920-1108
IC ID: 219132
OMB.report
HHS/CDC
OMB 0920-1108
ICR 202408-0920-015
IC 219132
( )
Documents and Forms
Document Name
Document Type
Attachment 4b_In-hospital data elements_Clean.docx
Other-Data elements
Coverdell Data Manual_E1_Pending Approval Admin Elements.pdf
Other-In-Hospital Data Elements
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
In-Hospital Quality of Care Data - PCNASP Awardee
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
Other-Data elements
Attachment 4b_In-hospital data elements_Clean.docx
Yes
Yes
Fillable Fileable
Other-In-Hospital Data Elements
Coverdell Data Manual_E1_Pending Approval Admin Elements.pdf
NA
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13
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:
100 %
Requested
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
0
0
0
52
Annual IC Time Burden (Hours)
26
0
0
0
0
26
Annual IC Cost Burden (Dollars)
0
0
-953
0
0
953
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.