Information Collection

1994 Long-term Care Survey (ltc)

IC 164118 under ICR 199403-0607-003 · OMB 0607-0778.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0778 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	1994 LONG-TERM CARE SURVEY (LTC)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	LTC-1, 2, 3,	No	No
Form	4, 7, 9(L1)	No	No
Form	9(L), 9(L2)	No	No
Form	LTC-RA(ADP),	No	No
Form	LTC-R2(LTC)	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,573	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	30,158	30,158
Annual IC Time Burden (Hours)	9,437	9,437
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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