Testing Long Term Care Questions

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 199221

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Testing Long Term Care Questions
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview QDRL LTC Attach 1-v2.docx Yes No Fillable Fileable

Health Health Care Services

09-20-0164 Health and Demographic Surveys Conducted in Probability Samples of the U.S. Population  49 FR 37693

15 5
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 15 0 0 0 0 0
Annual IC Time Burden (Hours) 15 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Margo Schwab QDRL LTC 10-day letter-final 2mary.doc 09/13/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy