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1999 Long-Term Care Survey and Informal Caregiver Survey
1999 Long-Term Care Survey and Informal Caregiver Survey
OMB: 0607-0778
IC ID: 37165
OMB.report
DOC/CENSUS
OMB 0607-0778
ICR 200003-0607-013
IC 37165
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0778 can be found here:
2004-07-14 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
1999 Long-Term Care Survey and Informal Caregiver Survey
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.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
LTC-9(3)
Yes
Yes
Form
LTC-9(1)
Yes
Yes
Form
LTC-9P(L1)
Yes
Yes
Form
LTC-4
Yes
Yes
Form
LTC-7
Yes
Yes
Form
LTC-9(L2)
Yes
Yes
Form
LTC-1-LTC-2
Yes
Yes
Form
LTC-3
Yes
Yes
Form
BNL-1
Yes
Yes
Form
LTC-10
Yes
Yes
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
22,985
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
0
0
0
31
Annual IC Time Burden (Hours)
11,731
0
0
0
0
11,731
Annual IC Cost Burden (Dollars)
0
0
0
0
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.