RCC/ADSC Screener and Appointment Setting Call Script

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: 231007

Information Collection (IC) Details

View Information Collection (IC)

RCC/ADSC Screener and Appointment Setting Call Script
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0943 RCC/ADSC Screener and Appointment Setting Call Script Attachment H Screening and Appointment Setting Script_11-28-17.docx NA No   Paper Only

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

3,740 1,821
   
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 3,740 0 3,740 0 0 0
Annual IC Time Burden (Hours) 935 0 935 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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