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Survey Of The Last Days Of Life

IC 165864 under ICR 198510-0925-006 · OMB 0925-0203.

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SURVEY OF THE LAST DAYS OF LIFE
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability


    

500 0
   
Individuals or Households
 
   0 %

  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 1,560 0 0 0 0 1,560
Annual IC Time Burden (Hours) 630 0 0 -1,291 0 1,921
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.