National Medicare Training Program Needs Assessment Survey (State and Local Gov't)

National Medicare Training Program Needs Assessment Survey

OMB: 0938-1063

IC ID: 186882

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Medicare Training Program Needs Assessment Survey (State and Local Gov't)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10257 CMS-10257. Collection Instrument - Phone Version CLEAN-DRAFT NMTP Needs Assessment Survey_PHONE VERSION_042109.doc Yes No Fillable Fileable
Form and Instruction CMS-10257 CMS-10257. Collection Instrument - Web Version CLEAN-DRAFT NMTP Needs Assessment Survey_WEB VERSION_042109.doc Yes No Fillable Fileable

Health Health Care Services

 

1,920 0
   
State, Local, and Tribal Governments
 
   50 %

  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 1,920 0 1,920 0 0 0
Annual IC Time Burden (Hours) 480 0 480 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10257. Email Reminder Survey DRAFT email reminder_012408Fi _2_.pdf 08/26/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy