RCC Provider Questionnaire

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: 231010

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

RCC Provider Questionnaire
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0943 RCC Provider Questionnaire Attachment C-2 011018.docx NA Yes Yes Fillable Fileable

Health Public Health Monitoring

Health Resources Utilization Statistics  49 FR 37697

1,589 1,033
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   30 %

  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 1,589 0 1,589 0 0 0
Annual IC Time Burden (Hours) 795 0 795 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy