Line 7 National Survey Facility Questionnaire

National Survey of Residential Care Facilities (NSRCF) 2008-2010

OMB: 0920-0780

IC ID: 183893

Information Collection (IC) Details

View Information Collection (IC)

Line 7 National Survey Facility Questionnaire
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 7 National Survey Facility Questionnaire Attachment O-National Facility Qx[1].12192007.doc Yes Yes Fillable Printable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

750 200
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 750 0 750 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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