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57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)
[NCEZID] The National Healthcare Safety Network (NHSN)
OMB: 0920-0666
IC ID: 183556
OMB.report
HHS/CDC
OMB 0920-0666
ICR 202408-0920-016
IC 183556
( )
Documents and Forms
Document Name
Document Type
Form CDC 57.117
57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)
Form
CDC 57.117 Denominators for Specialty Care Area (SCA)/Oncology (ONC
57.117_DenominatorSCA_BLANK.docx
Form
CDC 57.117 Denominators for Specialty Care Area (SCA)/Oncology (ONC
57.117_DenominatorSCA_BLANK.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
57.117 Denominators for Specialty Care Area (SCA)/Onocology (ONC)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
CDC 57.117
Denominators for Specialty Care Area (SCA)/Oncology (ONC)
57.117_DenominatorSCA_BLANK.docx
Yes
Yes
Fillable Fileable
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:
500
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
6,000
0
0
0
0
6,000
Annual IC Time Burden (Hours)
500
0
0
0
0
500
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.