Revised Resource Organization Questionnaire (Fifth Version)

Information Collection of the Resources and Services Database of the National Prevention Information Network: 30 day

OMB: 0920-0255

IC ID: 6708

Information Collection (IC) Details

View Information Collection (IC)

Revised Resource Organization Questionnaire (Fifth Version)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Appendix C Revised Resource Organization Questionnaire (Fifth Version) Revised Resource Organization Questionniare (Fifth Version.doc Yes Yes Fillable Printable

Health Health Care Services

 

20,000 0
   
Private Sector Not-for-profit institutions
 
   40 %

  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 20,000 0 867 0 0 19,133
Annual IC Time Burden (Hours) 5,667 0 1,809 0 0 3,858
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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