Nursing Home Administrators Committee Chair Interview

Workplace Violence Prevention Programs In New Jersey Healthcare Facilities

OMB: 0920-0914

IC ID: 205003

Documents and Forms
Document Name
Document Type
Other-Interview
Information Collection (IC) Details

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Nursing Home Administrators Committee Chair Interview
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Appendix C2.docx Yes No Paper Only

Health Public Health Monitoring

 

7 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 7 0 0 0 0 7
Annual IC Time Burden (Hours) 7 0 0 0 0 7
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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