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Information Collection

Direct Service Workers - Survey on Core Competencies for the Direct Service Workforce

IC 210300 under ICR 201405-0938-001 · OMB 0938-1229.

Documents and Forms
Document Name
Document Type
Form
Form
IC Document
Information Collection (IC) Details

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Direct Service Workers - Survey on Core Competencies for the Direct Service Workforce
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10512 Survey on Core Competencies for the Direct Service Workforce DSW CC Revised Survey Screenshots OMB Control 0938-1229.docx Yes Yes Fillable Printable

Health Health Care Services

 

2,400 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 2,400 0 0 0 0 2,400
Annual IC Time Burden (Hours) 1,200 0 0 0 0 1,200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk Crosswalk.docx 05/08/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.