Pilot Study of Proposed Nursing Home Survey on Resident Safety

Pilot Study of Proposed Nursing Home Survey on Resident Safety

OMB: 0935-0132

IC ID: 178948

Documents and Forms
Document Name
Document Type
Other-Questionnaire and instructions
Information Collection (IC) Details

View Information Collection (IC)

Pilot Study of Proposed Nursing Home Survey on Resident Safety
 
No New
 
Voluntary
 
5 CFR 1320.5

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire and instructions Attachment B-NH Survey on Resident Safety 1-24-07.pdf No No Paper Only

Health Public Health Monitoring

 

3,850 0
   
Private Sector Businesses or other for-profits
 
   0 %

  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 3,850 0 3,850 0 0 0
Annual IC Time Burden (Hours) 963 0 963 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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