Hospital Administrators Employee Incident Information

Workplace Violence Prevention Programs In New Jersey Healthcare Facilities

OMB: 0920-0914

IC ID: 199795

Information Collection (IC) Details

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Hospital Administrators Employee Incident Information
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Incident Information 10 7 2011 attachment-C3.docx Yes No Fillable Fileable

Health Public Health Monitoring

 

17 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 17 0 0 0 0 17
Annual IC Time Burden (Hours) 17 0 0 0 0 17
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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