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Federal forms, ICRs, and supporting documents

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Hospital Induction Interview

IC 202428 under ICR 201205-0920-009 · OMB 0920-0944.

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

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Hospital Induction Interview
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Hospital Induction Form Att G Hospital Induction.docx Yes Yes Fillable Fileable

Health Immunization Management

Health Resources Utilization Statistics  49 FR 37693

32 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved 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 32 0 32 0 0 0
Annual IC Time Burden (Hours) 48 0 48 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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