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Federal forms, ICRs, and supporting documents

Information Collection

Frame Development for the Residential Care Component of the National Post-Acute and Long-Term Care Study

IC 237021 under ICR 201703-0920-003 · OMB 0920-1030.

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Information Collection (IC) Details

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Frame Development for the Residential Care Component of the National Post-Acute and Long-Term Care Study 0920-1030-19BGJ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-1030 Contact Information Verification Attachment B-1 Advance Package Contact Info Verification.doc NA No   Paper Only
Form 0920-1030 Telephone Protocol Attachment A NSLTCP Frame Telephone Protocol.doc NA No   Paper Only
Form 0920-1030 Elecvtronic File Development Attachment C-Electronic File Development.docx NA No   Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

261 0
   
State, Local, and Tribal Governments
 
   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 261 0 261 0 0 0
Annual IC Time Burden (Hours) 138 0 138 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NSLTCP Frame Advance Package NCHS Letter Attachment B-2 NSLTCP Frame Advance Package NCHS Letter.doc 07/19/2019
Letter of Support Attachment B-3 Letter of Support.doc 07/19/2019
Confidential Brochure Attachment B-4 Advance Package NCHS Confidentiality Brochure.doc 07/19/2019
Research Determination Attachment D Human Subjects Determination.doc 07/19/2019
Thank You Letter Attachment E-Thank You Letter.doc 07/19/2019
Supporting Statement A NSLTCP Frame Supp State A_6.6.19.doc 07/19/2019
Supporting Statement B NSLTCP Frame Supp State B_6.6.19.doc 07/19/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.