2016 Adult Day Services Center Questionnaire-Version B

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: 210276

Information Collection (IC) Details

View Information Collection (IC)

2016 Adult Day Services Center Questionnaire-Version B
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NONE National Study of Long-Term Care Providers--2016 Adult Day Services Center Questions-Version B Att D-4_ 2016 ADSC questions Version B 031816.docx Yes Yes Fillable Printable

Health Health Care Services

Health Resources Utilization Statistics  49 FR 37697

1,350 0
   
State, Local, and Tribal Governments
 
   15 %

  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 1,350 0 1,350 0 0 0
Annual IC Time Burden (Hours) 675 0 675 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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