Information Collection

Assessment of Administrative Data on Elder Abuse, Mistreatment and Neglect (EAMN) project

IC 220880 under ICR 201512-1121-004 · OMB 1121-0339.

Information Collection (IC) Details

View Information Collection (IC)

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Information Collection Instruments:
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Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Online Survey of State and Local APS Data Collection Practices in 2015 2016 EAMN online survey_final.docx Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


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  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 140 0 140 0 0 0
Annual IC Time Burden (Hours) 70 0 70 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
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Title Document Date Uploaded
Memo to OMB on EAMN OMB memo_2016 EAMN online survey_04.04.16.docx 04/04/2016
EAMN Attachments with Table of Contents OMB memo attachments_2016 EAMN online survey_04.04.16.pdf 04/04/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.