1988 LONG-TERM CARE SURVEY

ICR 198904-0607-039

OMB: 0607-0635

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
164050 Migrated
ICR Details
0607-0635 198904-0607-039
Historical Active 198808-0607-002
DOC/CENSUS
1988 LONG-TERM CARE SURVEY
No material or nonsubstantive change to a currently approved collection   No
Emergency 04/25/1989
Approved with change 04/25/1989
Retrieve Notice of Action (NOA) 04/25/1989
  Inventory as of this Action Requested Previously Approved
06/30/1991 06/30/1991 06/30/1991
27,045 0 27,045
9,296 0 9,296
0 0 0

THE PURPOSE OF THE LTC IS T OBTAIN INFORMATION ABOUT HEALTH CONDITIONS THAT AFFECT OLDER AMERICANS EVERYDAY ACTIVITIES, ANY SPECIAL HEALTH CARE NEEDS OR SERVICES REQUIRE AND ON THE PERSONS AND ORGANIZATIONS THAT MAY PROVIDE CARE. PLANNERS WILL USE THE INFORMATION TO DETERMINE THE HEALTH CARE NEEDS O PEOPLE 65 YEARS OLD AND OVER.

None
None


No

1
IC Title Form No. Form Name
1988 LONG-TERM CARE SURVEY LTC-1, 2, 3, 7, 9L1, 9L2, 9L3, 9L4, 9L5, 10, 11

  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 27,045 27,045 0 0 0 0
Annual Time Burden (Hours) 9,296 9,296 0 0 0 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.
04/25/1989


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