Initial Telephone Screen

The Effect of Reducing Falls on Acute and Long -Term Care Expenses

OMB: 0990-0308

IC ID: 46264

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Document Name
Document Type
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Information Collection (IC) Details

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Initial Telephone Screen
 
No Modified
 
Voluntary
 
42 CFR 241.301

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Other 0990ModelFallPreventionAppendix A.doc No No Paper Only

Health Illness Prevention

 

240 0
   
Federal Government
 
   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 240 0 0 -960 0 1,200
Annual IC Time Burden (Hours) 80 0 0 -320 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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