Data Retrieval Telephone Call Questionnaire

Data Collection for the Residential Care Community and Adult Day Services Center Components of the National Study of Long-term Care Providers

OMB: 0920-0943

IC ID: 202805

Information Collection (IC) Details

View Information Collection (IC)

Data Retrieval Telephone Call Questionnaire
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Data Retrieval Call Attachment I Data Retrieval Call 5-8 013014.docx Yes No Printable Only

Health Consumer Health and Safety

Health Resources Utilization Statistics  49 FR 37697

1,670 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 1,670 0 0 0 0 1,670
Annual IC Time Burden (Hours) 418 0 0 0 0 418
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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