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ED and hospitalization discharge overdose data form - Health Department ED and inpatient hospital metadata - yearly
[NCIPC] Drug Overdose Surveillance and Epidemiology (DOSE)
OMB: 0920-1268
IC ID: 275052
OMB.report
HHS/CDC
OMB 0920-1268
ICR 202504-0920-022
IC 275052
( )
Documents and Forms
Document Name
Document Type
Form 0920-1268
ED and hospitalization discharge overdose data form - Health Department ED and inpatient hospital metadata - yearly
Form and Instruction
0920-1268 ED and Hospitalization Discharge Overdose Data Form
0920-1268 Att E_ED discharge.xlsx
Form and Instruction
Information Collection (IC) Details
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