In person interview-Field Test

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

OMB: 0990-0308

IC ID: 46269

Information Collection (IC) Details

View Information Collection (IC)

In person interview-Field Test
 
No Modified
 
Voluntary
 

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
Other-Other 0990telephoneriskAppendix B.doc No No Paper Only

Health Illness Prevention

 

177 0
   
Individuals or Households
 
   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 177 0 0 117 0 60
Annual IC Time Burden (Hours) 236 0 0 176 0 60
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix C-REDUCING FALLS Appendix C-REDUCING FALLS.pdf 11/09/2006
0990HealthPromotionAppendix D 0990HealthPromotionAppendix D.doc 11/09/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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