1999 Long-Term Care Survey and Informal Caregiver Survey Component

1999 Long-Term Care Survey and Informal Caregiver Survey Component

OMB: 0607-0778

IC ID: 3505

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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1999 Long-Term Care Survey and Informal Caregiver Survey Component
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form LTC-4 Yes Yes
Form LTC-7 Yes Yes
Form BNL-1 Yes Yes
Form LTC-9(3) Yes Yes
Form LTC-1-LTC-2 Yes Yes
Form LTC-9P(L1) Yes Yes
Form LTC-9(1) Yes Yes
Form LTC-3 Yes Yes
Form LTC-10 Yes Yes
Form LTC-9(L2) Yes Yes


    

22,985 0
   
Individuals or Households
 
   100 %

  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 31 0 -28,309 0 0 28,340
Annual IC Time Burden (Hours) 11,731 0 1,600 0 0 10,131
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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