Nursing Home Administrators Committee Chair Interview

Workplace Violence Prevention Programs In New Jersey Healthcare Facilities

OMB: 0920-0914

IC ID: 205004

Information Collection (IC) Details

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Nursing Home Administrators Committee Chair Interview 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 Employee Incident Appendix H.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

20 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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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