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Federal forms, ICRs, and supporting documents

Information Collection Request

FEASIBILITY STUDY OF A NATIONAL SURVEY OF AMBULATORY SURGERY CENTERS

ICR 199009-0920-003 · OMB 0920-0248 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110955 FEASIBILITY STUDY OF A NATIONAL SURVEY OF AMBULATORY SURGERY CENTERS Migrated
ICR Details
0920-0248 199009-0920-003
Historical Active 198905-0920-005
HHS/CDC
FEASIBILITY STUDY OF A NATIONAL SURVEY OF AMBULATORY SURGERY CENTERS
Revision of a currently approved collection   No
Regular
Approved without change 12/04/1990
Retrieve Notice of Action (NOA) 09/05/1990
  Inventory as of this Action Requested Previously Approved
06/30/1991 06/30/1991 04/30/1991
1,927 0 1
492 0 1
0 0 0
THE PURPOSE OF THIS PROJECT IS TO DEVELOP THE DESIGN FOR A NATIONAL SURVEY OF PATIENT VISITS TO AMBULATORY SURGICAL CENTERS (ASCS). THE RESULTING DESIGN WILL BE TESTED AND EVALUATED THROUGH ACTUAL DATA COLLECTION. RESULTS WILL BE USED TO IMPLEMENT A NATIONAL SURVEY OF ASCS IN THE FUTURE.
None
None
No
1
IC Title Form No. Form Name
FEASIBILITY STUDY OF A NATIONAL SURVEY OF AMBULATORY SURGERY CENTERS
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,927 1 0 0 1,926 0
Annual Time Burden (Hours) 492 1 0 0 491 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/05/1990