Information Collection

State Annual Long-Term Care OMBudsman Report, FY 1995 (Interim)

IC 116468 under ICR 199506-0985-001 · OMB 0985-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0985-0005 can be found here:

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Information Collection (IC) Details

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IC Title:	State Annual Long-Term Care Ombudsman Report, FY 1995 (Interim)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	812	812
Annual IC Cost Burden (Dollars)	0	0

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Title	Document	Date Uploaded

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