Nursing Home Administrators Survey

Workplace Violence Prevention Programs In New Jersey Healthcare Facilities

OMB: 0920-0914

IC ID: 205002

Information Collection (IC) Details

View Information Collection (IC)

Nursing Home Administrators Survey 0920-0914
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0914 Evaluation of Nursing Home Workplace Violence Prevention Program Abstraction Form Appendix C1.docx No   Paper Only

Health Public Health Monitoring

 

20 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 20 0 0 0 0 20
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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