Information Collection

Management and Organizational Practices Survey-Hospitals (MOPS-HP)

IC 245945 under ICR 202102-0607-003 · OMB 0607-1016.

Documents and Forms

Document Name Document Type
Form MOPS-HP Management and Organizational Practices Survey-Hospitals (MOPS-HP) Form
Attachment C - Initial Letter to Respondents.docx Other-Initial Letter to Respondents
Attachment C - Initial Letter to Respondents.docx Other-Initial Letter to Respondents
Attachment D - Due Date Reminder Letter.docx Other-Due Date Reminder Letter
Attachment D - Due Date Reminder Letter.docx Other-Due Date Reminder Letter
Attachment E - Reminder Letter.docx Other-Reminder Letter
Attachment E - Reminder Letter.docx Other-Reminder Letter
Attachment F - Screenshot of Introductory Centurion Screen.docx Other-Screenshots - Intro Page & Bur
Attachment F - Screenshot of Introductory Centurion Screen.docx Other-Screenshots - Intro Page & Bur
MOPS-HP MOPS-HP Questionnaire Attachment A - MOPS-HP Questionnaire.pdf Form
MOPS-HP MOPS-HP Questionnaire Attachment A - MOPS-HP Questionnaire.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Management and Organizational Practices Survey-Hospitals (MOPS-HP)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MOPS-HP	MOPS-HP Questionnaire	Attachment A - MOPS-HP Questionnaire.pdf	Yes	Yes	Fillable Fileable
Other-Initial Letter to Respondents			Attachment C - Initial Letter to Respondents.docx	Yes	Yes	Fillable Fileable
Other-Due Date Reminder Letter			Attachment D - Due Date Reminder Letter.docx	Yes	Yes	Fillable Fileable
Other-Reminder Letter			Attachment E - Reminder Letter.docx	Yes	Yes	Fillable Fileable
Other-Screenshots - Intro Page & Burden Statement			Attachment F - Screenshot of Introductory Centurion Screen.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,200	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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,200	3,200
Annual IC Time Burden (Hours)	2,400	2,400
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.