Survey on Rural Community Wealth and Health Care Provision - Mail/web survey with health care providers_respondents

Rural Community Wealth and Health Care Provision Survey

OMB: 0536-0072

IC ID: 202481

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

View Information Collection (IC)

Survey on Rural Community Wealth and Health Care Provision - Mail/web survey with health care providers_respondents
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Questionnaire Annex F_Health care provider questionnaire.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,200 0
   
Private Sector Businesses or other for-profits
 
   50 %

  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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 600 0 600 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy