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2016 Adult Day Services Center Questions-Version A

IC 202805 under ICR 201803-0920-001 · OMB 0920-0943.

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2016 Adult Day Services Center Questions-Version A 15BZ
 
No Removed
 
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 A Att D-3 _2016 ADSC questions Version A 031816.docx Yes Yes Fillable Printable

Health Consumer Health and Safety

Health Resources Utilization Statistics  49 FR 37697

1,350 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   100 %

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

Title Document Date Uploaded
Att I-2 ADSC Web Questionnaire Screenshots Att I-2 ADSC Web Questionnaire Screenshots.docx 04/25/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.