Information Collection

National Hospital Discharge Survey

IC 6666 under ICR 200802-0920-014 · OMB 0920-0212.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0212 can be found here:

Documents and Forms

Document Name Document Type
Form HDS-1 (DRAFT) National Hospital Discharge Survey Form
HDS-1 (DRAFT) Medical Abstraction - National Hospital Discharge Survey NHDS 2007 att 1 abst.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Hospital Discharge Survey	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
Form	HDS-1 (DRAFT)	Medical Abstraction - National Hospital Discharge Survey	NHDS 2007 att 1 abst.pdf		Yes	Yes	Printable Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Health Resources Utilization Statistics	FR Citation: 49 FR 37697

Number of Respondents: 331	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: 2 %

	Approved	Previously Approved
Annual Number of Responses for this IC	47,525	47,525
Annual IC Time Burden (Hours)	2,408	2,408
Annual IC Cost Burden (Dollars)	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.